COLLINGSWOOD FAMILY MEDICAL PRACTICE
NPI 1093744971
Family Medicine in Collingswood, NJ
About Collingswood Family Medical Practice NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
COLLINGSWOOD FAMILY MEDICAL PRACTICE (NPI 1093744971), doing business as Robert A Stagliano Do Pa, is a healthcare organization registered as a family medicine in Collingswood, New Jersey and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Lance Neveling, Owner/provider, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Collingswood Family Medical Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Collingswood Family Medical Practice, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 31D0698050
Collingswood Family Medical Practice · Collingswood, NJFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Collingswood Family Medical Practice's NPI number?
The NPI number for Collingswood Family Medical Practice is 1093744971. It was assigned to this organization in the NPPES registry on July 2, 2006. The provider was formerly known as Robert A Stagliano DO PA.
Where is Collingswood Family Medical Practice located?
Collingswood Family Medical Practice is located at 600 Atlantic South Ave, Collingswood, NJ 08108. The listed phone number is (856) 854-1050.
What is Collingswood Family Medical Practice's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Collingswood Family Medical Practice enrolled in Medicare?
Yes. Collingswood Family Medical Practice is registered in the Medicare PECOS enrollment system.
When is Collingswood Family Medical Practice's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Collingswood Family Medical Practice?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Collingswood Family Medical Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (3) and Nurse Practitioner (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Collingswood Family Medical Practice hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0698050) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Collingswood Family Medical Practice was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Collingswood Family Medical Practice · NPI 1093744971
Family Medicine organization in Collingswood, New Jersey. Organization record, active in the CMS NPPES registry since July 2, 2006.
## Identity
- **NPI:** 1093744971 (Entity type: Organization)
- **Enumerated:** July 2, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Robert A Stagliano DO PA (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Lance Neveling, OWNER/PROVIDER
## Practice location
- **Address:** 600 ATLANTIC SOUTH AVE, Collingswood, NJ 08108-3042
- **Phone:** (856) 854-1050 · **Fax:** (856) 854-2453
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (3), Nurse Practitioner (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 21, 2026
- **Other identifiers:** Medicaid 093471 (NJ)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1093744971) · Data from the CMS NPPES public registry.