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WATERFORD FAMILY PRACTICE
NPI 1164621835
Preferred Provider Organization in Waterford Works, NJ

Active since July 13, 2007
369 SOUTH WHITE HORSE PIKE, WATERFORD WORKS, NJ 08089(609) 561-5900(609) 561-8989 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Waterford Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFORD FAMILY PRACTICE (NPI 1164621835) is a healthcare organization registered as a preferred provider organization in Waterford Works, New Jersey and active in the NPI registry since July 2007. The organization lists Gregg A Pearson, Owner, as its authorized official.

NPPES Registry Identity

NPI1164621835
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameGREGG A PEARSON DO PC
Location Address369 SOUTH WHITE HORSE PIKEWaterford Works, NJ 08089-0849
Mailing Address369 S White Horse PikeWaterford Works, NJ 08089-0849 · (609) 561-5900 · Fax (609) 561-8989
Phone(609) 561-5900
Fax(609) 561-8989
Organization SubpartNo
Authorized OfficialGregg A PearsonOwner · (609) 561-5900
Enumeration DateJuly 13, 2007
✔ NPI 1164621835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in NJ · MB72474
Definition
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.
369 SOUTH WHITE HORSE PIKE, Waterford Works, NJ 08089
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Other Names 1

Doing Business AsWaterford Family Practice

Other Identifiers 5

Other2158351001NJ · Amerihealth
Other2155351000NJ · Keystone
Medicare PIN051428NJ
Other2155351000NJ · Independence Bcbs
Medicaid8538808NJ

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Waterford Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Waterford Family Practice, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gregg Pearson, DO
Family Practice
NPI 1083645972
369S WHITE HORSE PIKE
Waterford, NJ 08089
(609) 561-5900
✔ PECOS✔ Accepts Medicare5.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently 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 Gregg A Pearson Do PC's NPI number?

The NPI number for Gregg A Pearson Do PC is 1164621835. It was assigned to this organization in the NPPES registry on July 13, 2007. The provider is doing business as Waterford Family Practice.

Where is Gregg A Pearson Do PC located?

Gregg A Pearson Do PC is located at 369 South White Horse Pike, Waterford Works, NJ 08089. The listed phone number is (609) 561-5900.

What is Gregg A Pearson Do PC's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

Is Gregg A Pearson Do PC enrolled in Medicare?

Yes. Gregg A Pearson Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gregg A Pearson Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gregg A Pearson Do PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Gregg A Pearson Do PC was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.