GREGG A PEARSON DO PC (NPI# 1164621835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164621835 |
| Entity Type | Organization |
| Organization Name | GREGG A PEARSON DO PC |
| Other Organization Name | WATERFORD FAMILY PRACTICE |
| Practice Address |
369 South White Horse Pike Waterford Works NJ 08089-0849 |
| Mailing Address |
369 S White Horse Pike Waterford Works NJ 08089-0849 |
| Practice Telephone | 6095615900 |
| Practice Fax Number | 6095618989 |
| Mailing Telephone | 6095615900 |
| Mailing Fax Number | 6095618989 |
| Enumeration Date | 2007-07-13 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | DR. GREGG A PEARSON (OWNER) |
| Authorized Official Telephone | 6095615900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | MB72474 | NJ | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8538808 | 05 | |
| NJ | KEYSTONE | 2155351000 | 01 |
| NJ | INDEPENDENCE BCBS | 2155351000 | 01 |
| NJ | AMERIHEALTH | 2158351001 | 01 |
| Other Name | Type Code |
|---|---|
| WATERFORD FAMILY PRACTICE | Doing Business As Name - Organization |
| Street Address |
369 SOUTH WHITE HORSE PIKE |
| City | WATERFORD WORKS |
| State | NJ |
| Zip Code | 08089-0849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336324730 | Claire Higgins | Licensed Practical Nurse | 632 Elm Ave, Chesilhurst, NJ 08089-1124 | 2008-01-03 |
| 1467815316 | Karole Nicoletta | Registered Nurse | 328 Edwards Ave, Chesilhurst, NJ 08089-1134 | 2016-03-29 |
| 1477002269 | Niala Johnson | Counselor | 132 Grant Ave, Chesilhurst, NJ 08089-1417 | 2016-09-22 |
| 1912416371 | Rem New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 223 Garfield Ave, Chesilhurst, NJ 08089-1644 | 2017-09-28 |
| 1083645972 | Gregg A Pearson | Family Medicine | 369s White Horse Pike, Waterford, NJ 08089-1741 | 2006-07-06 |
| 1558601328 | Waterford Township School District | Local Education Agency (LEA) | 1106 Old White Horse Pike, Waterford, NJ 08089-1852 | 2013-02-15 |
| 1538551411 | Jeanette Short | Acupuncturist | 203 S White Horse Pike, Waterford Works, NJ 08089-2222 | 2015-03-02 |
| 1134506355 | Absolute Haven, Inc | Clinic/Center | 203 S White Horse Pike, Suite A, Waterford Works, NJ 08089-2222 | 2015-04-27 |
| 1215536859 | Stephanie A Schmitt | Occupational Therapy Assistant | 31 W Mary Ln, Waterford Works, NJ 08089-2401 | 2020-10-24 |
| 1841431939 | Susan Marie Barry | Registered Nurse | 5 Mauriello Dr, Waterford Works, NJ 08089-2411 | 2009-03-18 |
| Find all providers in zip 08089 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972112670 | Tree House Ent Cultral Arts Movement Inc | Preferred Provider Organization | 462 Sanford Ave, Newark, NJ 07106-1602 | 2020-07-28 |
| 1538617683 | Patricia Allocca | Preferred Provider Organization | 305 Atlantic Dr, Parsippany, NJ 07054-2441 | 2016-09-19 |
| 1750837803 | Jessica Plonchak | Preferred Provider Organization | 255 Sherman Ave, Teaneck, NJ 07666-3310 | 2016-08-29 |
| 1609227248 | Essex Pediatrics & Associates PC | Preferred Provider Organization | 654 Mount Prospect Ave, Newark, NJ 07104-3110 | 2016-06-24 |
| 1013372457 | Sewell Senior Citizen Center | Preferred Provider Organization | 475 Hurstville Cross Keys Rd, Suite A&b, Sewell, NJ 08080 | 2015-12-30 |
| 1487021309 | Bergen Smiles Dental Clinic, LLC | Preferred Provider Organization | 24 Godwin Ave Ste 102, Midland Park, NJ 07432-1962 | 2015-08-26 |
| 1972900777 | Advocacy Family Support Services. | Preferred Provider Organization | 41 La Gorce Blvd, Burlington, NJ 08016-2938 | 2014-11-24 |
| 1265852933 | Abt Counseling Pllc | Preferred Provider Organization | 1010 Haddonfield Berlin Rd Ste 300, Voorhees, NJ 08043-3514 | 2014-04-22 |
| 1811324650 | G L Payumo Md Pa | Preferred Provider Organization | 205 May St Ste 103, Edison, NJ 08837-3267 | 2013-10-10 |
| 1154753507 | United Anesthesia LLC | Preferred Provider Organization | 249 Bridge St Bldg G, Metuchen, NJ 08840-2294 | 2013-08-07 |
| Find all providers with the same taxonomy | ||||
| City | WATERFORD WORKS |
| Zip Code | 08089 |
Please comment or provide details below to improve the information on GREGG A PEARSON DO PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.