Exclusive Provider Organization in New Jersey

(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.

Providers

NameTypeCity
21ST CENTURY TOTAL HEALTH CLINIC PCOrganizationORANGE
A BETTER TOMORROW COUNSELING SERVICESOrganizationTURNERSVILLE
ALEJANDRO PRESILLAOrganizationUNION CITY
ASHRAF MEDICAL MD.PAOrganizationWATCHUNG
B & F ACUPUNCTURE P.C.OrganizationCHERRY HILL
CANCER SURGERY ASSOCIATES,LLCOrganizationHACKENSACK
CAPITOL COUNTY CHILDREN'S COLLABORATIVEOrganizationHAMILTON
CARISK IMAGING IPA, LLCOrganizationFLORHAM PARK
CARLOS G RIVERA M.D., PCOrganizationLONG BRANCH
CARLOS J. GOMEZ MD PAOrganizationBAYONNE
CARLY DRUCK, LLC.OrganizationCRANFORD
CATHOLIC CHARITIESOrganizationMOUNT LAUREL
CATHOLIC CHARITIESOrganizationWESTAMPTON
CORE CARE CHIROPRACTICOrganizationELIZABETH
CORRECTIONAL DENTAL ASSOCIATESOrganizationTRENTON
CVS CAREMARK SPECIALTY PHARMACYOrganizationFAIRFIELD
DR JM LLCOrganizationBRICK
DR LUCAS RALSTON MDOrganizationTOMS RIVER
DR.RIAD KABAKIBIOrganizationSECAUCUS
EMPOWER THERAPEUTICSOrganizationLAKEWOOD
ENDODONTIC ASSOCIATES,PAOrganizationENGLEWOOD
EYE SAVERS OPTICALOrganizationJERSEY CITY
FAMILY PEDIATRICS. LLCOrganizationWAYNE
GEMINI TOTAL HEALTH CLINIC LLCOrganizationORANGE
GLANZBERG SPEECH AND VOICE IMPROVEMENT CENTER, LLCOrganizationSCOTCH PLAINS
GREGORY MARTIN CHIROPRACTIC LLCOrganizationSPARTA
HOPE & FOCUS INDIVIDUAL AND FAMILY COUNSELINGOrganizationVERONA
IRIQUE ROBINSONOrganizationPATERSON
JAMES A PRATE LLCOrganizationLAUREL SPRINGS
K&G OPTICALOrganizationEAST BRUNSWICK
LEONARD J. GROSSMAN. MDOrganizationLEDGEWOOD
LIFE ST. FRANCIS CORPORATIONOrganizationBORDENTOWN
LINCOLN PHYSICAL THERAPYOrganizationGLEN ROCK
LIVING WELL MEDICAL SUPPORT LLCOrganizationNEW BRUNSWICK
LUIS A. YEROVI MD PAOrganizationNEWARK
MENTAL HEALTH ASSOCIATIONOrganizationTINTON FALLS
MERCER MEDICAL GROUPOrganizationPRINCETON
NASRINE A. SHADPOOR O.D.P.A.OrganizationBEDMINSTER
NEW LIFE HEALTH CARE AGENCY LLCOrganizationHAMILTON
NJ MED, PAOrganizationELIZABETH
OM EYECARE, INC.OrganizationNORTH PLAINFIELD
PARENT ASSOCIATION FOR DISABLE CHILDREN AND ADULT MULTI SERVICESOrganizationPATERSON
PLATINUM PHYSICAL THERAPY & WELLNESSOrganizationUNION BEACH
RADIOLOGY CONSULTANTS OF NEW JERSEY, INCOrganizationMOUNT LAUREL
ST. JOSEPH'S HEALTH PARTNERSOrganizationPATERSON
THE ARCOrganizationHAMPTON
THE ARC OF HUNTERDON COUNTYOrganizationFLEMINGTON
THE EHRHARDT CENTEROrganizationBASKING RIDGE
THE EYE CENTRE LLPOrganizationRIVER EDGE
THE UNCOMMON THREADOrganizationSTIRLING
THOMAS FISHER,LICENSED PROFESSIONAL COUNSELOROrganizationPARSIPPANY
UNITY PLACE OF ATLANTIC COUNTY, LLCOrganizationHAMMONTON
URBAN LEAGUE OF HUDSON COUNTYOrganizationJERSEY CITY
WEINSTOCK NUTRITION LLCOrganizationMAPLEWOOD

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Derived from NPPES (public domain) and CMS Medicare data. Not affiliated with CMS, NPPES, or any government agency.