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THERESA C ESPOSITO PA-C
NPI 1467057935
Physician Assistant in Bergenfield, NJ

Active since December 02, 2020PECOS EnrolledAccepts Medicare Assignment
136 N WASHINGTON AVE STE 203, BERGENFIELD, NJ 07621(201) 374-1718 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Dec 2, 2020 (2 updates tracked since 2020).

About Theresa C Esposito Pa-c NPPES

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

THERESA C ESPOSITO PA-C (NPI 1467057935) is an individual physician assistant in Bergenfield, New Jersey, licensed in New Jersey (25MP00589300) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Atlanticare Regional Medical Center - City Campus, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1467057935
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameTHERESA C ESPOSITOCredential: PA-C
Location Address136 N WASHINGTON AVE STE 203Bergenfield, NJ 07621-1776
Mailing Address56 Walnut AveBellmawr, NJ 08031-2222 · (201) 290-1954
Phone(201) 374-1718
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 2, 2020
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1467057935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00589300
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
136 N WASHINGTON AVE STE 203, Bergenfield, NJ 07621
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa C Esposito Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1254796964
PECOS Enrollment IDI20230503000512
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
61 services57 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
56 services36 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
56 services43 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
43 services40 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services35 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
24 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Atlanticare Regional Medical Center - City Campus

Acute Care Hospitals · Atlantic City, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310064
Location1925 Pacific AvenueAtlantic City, NJ 08401 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07621 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ONE BERGEN HEALTH PC
Internal Medicine
136 N WASHINGTON AVE STE 203
BERGENFIELD, NJ 07621
Bergen County (551) 502-5377
DR. SAMANTHA COHEN DO
Family Medicine
136 N WASHINGTON AVE STE 203
BERGENFIELD, NJ 07621
Bergen County (551) 502-5377

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 Theresa Esposito's NPI number?

The NPI number for Theresa Esposito is 1467057935. It was assigned to this individual provider in the NPPES registry on December 2, 2020.

Where is Theresa Esposito located?

Theresa Esposito practices at 136 N Washington Ave Ste 203, Bergenfield, NJ 07621. The listed phone number is (201) 374-1718.

What is Theresa Esposito's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Theresa Esposito enrolled in Medicare?

Yes. Theresa Esposito is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Theresa Esposito accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Theresa Esposito as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Theresa Esposito affiliated with any hospitals?

According to CMS data, Theresa Esposito is affiliated with Atlanticare Regional Medical Center - City Campus.

When was this NPI record last updated?

The NPPES record for Theresa Esposito was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.