Individual provider Active NPI

David George Macbride, D.O.

  • Emergency Medicine Physician
  • Atlantic City, NJ
National Provider Identifier
1992753198
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB080476 Issued in NJ
Practice address
1925 Pacific Ave
Department of Emergency Medicine
Atlantic City, NJ 08401-6713
Phone
(609) 441-8053
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X OT010151 PA
Emergency Medicine Physician 207P00000X MB080476 NJ Primary

Addresses

Primary practice location

1925 Pacific Ave
Department of Emergency Medicine
Atlantic City, NJ 08401-6713

Mailing address

7 Lowbridge Psge
Medford, NJ 08055-3354
Phone (609) 654-6575

Other identifiers 4

IdentifierTypeStateIssuer
60024445OtherNJHORIZON NJ HEALTH
0111155MedicaidNJ
30037329OtherNJKEYSTONE MERCY
2817667000OtherNJAMERIHEALTH

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070112000415 NJ Practitioner - Emergency Medicine 3476577834 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlantic Emergency Associates PAGroup PAC ID 1153354170, 48 clinicians

Practice addresses (Care Compare)

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone (609) 345-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
97.6
Improvement activities
40
Cost
79.79

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
90
Improvement activities
40
Cost
100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB080476NJMDEmergency Medicine Physician
OT010151PAMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Emergency Associates, PA - Mainland Location Emergency Medicine Current Accepting new patients
Atlantic Emergency Associates - Hammonton Sed LLC Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Atlanticare Urgent Care Physicians LLC Past Accepting new patients

Locations

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260748800000",
    "number": "1992753198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 LOWBRIDGE PSGE",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080553354",
            "telephone_number": "609-654-6575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925 PACIFIC AVE",
            "address_2": "DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084016713",
            "telephone_number": "609-441-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACBRIDE",
        "first_name": "DAVID",
        "middle_name": "GEORGE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2009-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "PA",
            "license": "OT010151",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB080476",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60024445",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0111155",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY",
            "identifier": "30037329",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "2817667000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

Verify at the official NPI Registry.