Taxonomy Code 302F00000X(302f00000x)
Exclusive Provider Organization. Providers: 1

Copy url

Exclusive Provider Organization Providers

NPI Name Type Address

1699197202

Alejandro Presilla

Organization

322 49th St

Union City, NJ

How to obtain, renew, or terminate an NPI

Every health care provider, whether it’s a hospital, pharmacy, or individual specialist, must obtain their own NPI number. This identification number is unique and is assigned upon application. In tod...

Copy url
Taxonomy Code 302F00000X
Display Name Exclusive Provider Organization
Taxonomy Group Managed Care Organizations
Taxonomy Classification Exclusive Provider Organization
Definition (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
Effective Date September 30, 2009
Copy url

Other Taxonomy Codes

Pulmonary Function Technologist

225B00000X • providers: 78

Pediatric Clinical & Laboratory Immunology Physician

2080I0007X • providers: 19

Clinic Pharmacy

3336C0002X • providers: 1,542

Radiological Physics Physician

2085R0205X • providers: 80

Clinical Informatics (Pathology) Physician

207ZC0008X • providers: 16

Neuro-ophthalmology Physician

207WX0109X • providers: 118

Physical Disabilities Residential Treatment Facility

320700000X • providers: 833

Interventional Pain Medicine Physician

208VP0014X • providers: 4,701

Reproductive Endocrinology/Infertility Registered Nurse

163WR1000X • providers: 35

Community Health Worker

172V00000X • providers: 25,561

Adult Medicine Physician

207QA0505X • providers: 3,209

Non-emergency Medical Transport (VAN)

343900000X • providers: 19,476

Neurorehabilitation Occupational Therapist

225XN1300X • providers: 568

Mental Illness Community Based Residential Treatment Facility

320800000X • providers: 4,601

Orthopaedic Foot and Ankle Surgery Physician

207XX0004X • providers: 860

Assistive Technology Supplier Audiologist

231HA2500X • providers: 85

Eyewear Supplier

332H00000X • providers: 13,404

Oncology Pharmacist

1835X0200X • providers: 1,285

Assisted Living Facility (Mental Illness)

3104A0625X • providers: 1,261

Ambulatory Care Pharmacist

1835P2201X • providers: 2,554