NPIMap

Organization Active NPI

Encore Clinical Services - PA LLC

  • Nurse Practitioner
  • Bristol, PA
National Provider Identifier
1992487540
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
ENCORE CLINICAL SERVICES - PA LLC
Practice address
200 Rittenhouse Circle East Building
Suite 4
Bristol, PA 19007-1619
Phone
(267) 225-1295
Fax
(267) 393-4493
NPI assigned
Aug 3, 2023
Last updated
May 7, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Authorized official

Name
Matthew Legowski
Title
Operations
Phone
(267) 225-1295

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

200 Rittenhouse Circle East Building
Suite 4
Bristol, PA 19007-1619

Mailing address

731 Bay Ave
Somers Point, NJ 08244-2378
Phone (267) 225-1295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231012003835 PA Part B Supplier - Clinic/Group Practice 0345695268 Receives reassigned benefits from 15 practitioners
Practice locations: Bristol, PA

National Provider Directory

National Provider Directory

Locations

200 Rittenhouse Cir
Ste 4
Bristol, PA 19007
Phone (267) 225-1295

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1992487540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 BAY AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442378",
            "telephone_number": "267-225-1295",
            "fax_number": "267-573-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 RITTENHOUSE CIRCLE EAST BUILDING",
            "address_2": "SUITE 4",
            "city": "BRISTOL",
            "state": "PA",
            "postal_code": "190071619",
            "telephone_number": "267-225-1295",
            "fax_number": "267-393-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE CLINICAL SERVICES - PA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A",
        "authorized_official_last_name": "LEGOWSKI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OPERATIONS",
        "authorized_official_telephone_number": "267-225-1295"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.