Nathan Douglas Counsellor, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00497400 Issued in NJ

Practice address

201 Haddon Ave
Haddon Township, NJ 08108-2860

Phone

(856) 854-0300

NPI assigned

Oct 11, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: nathan.counsellor@advocaredoctors.eclinicaldirectplus.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696

  NJ

  Medicare reassignment Care Compare group NPD
• Advocare , LLC

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  Care Compare group NPD
• Matthew Peter Olivo, M.D.

  • Dermatology Physician
  • Haddon Township, NJ
  • NPI 1669524088

  NJ

  Medicare reassignment
• Advocare, LLC

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
  • NPI 1033180989
  Care Compare group
• Advocare, LLC

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
  • NPI 1063893980
  Care Compare group
• Advocare, LLC

  • Orthopaedic Surgery Physician
  • Hackettstown, NJ
  • NPI 1528309838
  Care Compare group
• Advocare, LLC

  • Orthopaedic Surgery Physician
  • Turnersville, NJ
  • NPI 1609111038
  Care Compare group
• Advocare, LLC

  • Internal Medicine Physician
  • Berlin, NJ
  • NPI 1649562042
  Care Compare group
• Advocare, LLC

  • Rheumatology Physician
  • Sewell, NJ
  • NPI 1659775344
  Care Compare group
• Advocare, LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Voorhees, NJ
  • NPI 1821364985
  Care Compare group
• Advocare, LLC

  • Pediatrics Physician
  • Cherry Hill, NJ
  • NPI 1780696732
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539216000000",
    "number": "1992270417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 SHEPPARD AVE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781523",
            "telephone_number": "856-371-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HADDON AVE",
            "city": "HADDON TOWNSHIP",
            "state": "NJ",
            "postal_code": "081082860",
            "telephone_number": "856-854-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUNSELLOR",
        "first_name": "NATHAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-11",
        "last_updated": "2018-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00497400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• D L Douglas Hair Designs LLC
• Da Vinci Dental, P.C.
• Jessica Dare

• All providers in Haddon Township, NJ
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.