DR. THEODORE ENDE (D.O.) – Internal Medicine Physician, NPI 1093722480

DR. THEODORE ENDE (D.O.) is a healthcare provider. based in Forked river, New Jersey. specializing in INTERNAL MEDICINE. They hold the professional credentials D.O.. They hold a License No. 25MB03165000 (NJ). The NPI Number for DR. THEODORE ENDE (D.O.) is 1093722480

Main info

Male
Sole Proprietor
53 Years Of Experience
Accepts Medicare Assignment
Name
DR. THEODORE ENDE (D.O.)
NPI
1093722480
Phone
(609) 693-1992
Address
422 WEST LACEY ROAD
Enumeration Date
1 August 2006
Last Update Date
18 July 2019

Doctor Profile

Medical School Name
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
6097565028
Graduation Year
1973 (53 years ago)
PAC ID
0547227753
Group Practice PAC ID
7911003330
Professional Enrollment ID
I20041220000089
Address ID
NJ087581743WA501XX9XXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

6,893 INTERNAL MEDICINE in NJ

Provider Addresses for DR. THEODORE ENDE (D.O.)

  • 422 WEST LACEY ROAD

    FORKED RIVER, NJ 087312518

    Phone: (609) 693-1992

    Fax: (609) 971-3199

    Type: Location

  • 501 ROUTE 9

    WARETOWN, NJ 087581743

    Phone: (609) 693-1992

    Fax: (609) 693-1992

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 64 Open Payments records for all available years, with a total value of $1,617.

Total Amount is formed as General ($1,617) + Research ($0) + Ownership ($0) = $1,617.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($902).

Total Amount

$1,617

General + Research + Ownership

Payments

64

Total payment records

General Amount

$1,617

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-12-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20041220000089IInternal MedicineNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes441219$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit183183$0
99213Established patient office or other outpatient visit, 20-29 minutes6332$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report1313$0
View full utilization report →

Insurance plans in this area (ZIP 08731)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7911003330View full group profile
NameSpecialtyState
Internal MedicineNJ
-NJ
Nurse PractitionerNJ
Family PracticeNJ
Internal MedicineNJ
Nurse PractitionerNJ
Family PracticeNJ
-NJ
Internal MedicineNJ
Internal Medicine, Geriatric MedicineNJ

Reviews

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Frequently asked questions

Where can patients find DR. THEODORE ENDE (D.O.)'s NPI?
You can confirm DR. THEODORE ENDE (D.O.) with NPI 1093722480; it appears in the national provider directory.
Is DR. THEODORE ENDE (D.O.) active in the national directory?
DR. THEODORE ENDE (D.O.)'s public NPI profile is in an active state.
Does DR. THEODORE ENDE (D.O.) list a primary specialty?
If you are matching referrals, note Internal Medicine Physician for DR. THEODORE ENDE (D.O.). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. THEODORE ENDE (D.O.)?
The page summarizes Forked River, New Jersey for DR. THEODORE ENDE (D.O.); expand the address list for detail.
Is DR. THEODORE ENDE (D.O.) a real provider?
This page reflects official NPPES data for NPI 1093722480. Always confirm identity and privileges with the practice and licensing boards.

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