NPI | Name | Type | Address |
---|---|---|---|
Unity Place Of Atlantic County, Llc |
Organization |
121 S White Horse Pike Suite A Hammonton, NJ |
|
Dr Lucas Ralston Md |
Organization |
201 Cedar Grove Rd Toms River, NJ |
|
B & F Acupuncture P.c. |
Organization |
1 Mall Dr 301 Cherry Hill, NJ |
|
Sanford Heights Hearing Center Inc. |
Organization |
1984 Springfield Ave Maplewood, NJ |
|
Alejandro Presilla |
Organization |
322 49th St Union City, NJ |
|
Cvs Caremark Specialty Pharmacy |
Organization |
180 Passaic Ave Fairfield, NJ |
|
Irique Robinson |
Organization |
195 Temple St Paterson, NJ |
|
Nj Med, Pa |
Organization |
240 Williamson St Suite 204 Elizabeth, NJ |
|
Hope & Focus Individual And Family Counseling |
Organization |
80 Pompton Ave Suite 106 Verona, NJ |
|
Mercer Medical Group |
Organization |
300 Carnegie Ctr Princeton, NJ |
|
Weinstock Nutrition Llc |
Organization |
2115 Millburn Ave Ste 101 Maplewood, NJ |
|
New Life Health Care Agency Llc |
Organization |
3642 Nottingham Way Hamilton, NJ |
|
Ashraf Medical Md.pa |
Organization |
475 Watchung Ave Suite 8 Watchung, NJ |
|
Thomas Fisher,licensed Professional Counselor |
Organization |
106 Reservoir Rd Parsippany, NJ |
|
Glanzberg Speech And Voice Improvement Center, Llc |
Organization |
114 Donato Cir Scotch Plains, NJ |
|
Core Care Chiropractic |
Organization |
1019 E Jersey St Elizabeth, NJ |
|
Carly Druck, Llc. |
Organization |
1 Lasalle Ave Cranford, NJ |
|
Catholic Charities |
Organization |
327 Mount Laurel Rd Mount Laurel, NJ |
|
Catholic Charities |
Organization |
25 Ikea Dr Westampton, NJ |
|
21st Century Total Health Clinic Pc |
Organization |
439 Main St Suite 101 Orange, NJ |
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...
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 |