Individual provider Active NPI

Mary Jo Donnell, NP-C

  • Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1003217480
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00519300 Issued in NJ
Practice address
1935 Route 70 E
Cherry Hill, NJ 08003-2117
Phone
(856) 428-7700
NPI assigned
Sep 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00519300 NJ Primary

Addresses

Primary practice location

1935 Route 70 E
Cherry Hill, NJ 08003-2117

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

239 Hurffville Crosskeys Rd Ste 350A
Sewell, NJ 08080-4007
Phone (856) 428-7700

Other practice location 2

200 Trenton Rd
Browns Mills, NJ 08015-1705
Phone (609) 893-6611

Other identifiers 1

IdentifierTypeStateIssuer
0464287MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mdonnell237497@directvirtua.org
Direct Messaging Address mdonnell237497@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150714001544 NJ Practitioner - Nurse Practitioner 1658684048 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1935 Route 70 E
Cherry Hill, NJ 08003-2117
Phone (856) 428-7700

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Nov 7, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 7, 2022 Accepting new patients
Deborah Cardiovascular Group, P.C. CurrentSince Jun 24, 2015 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2019 Accepting new patients
Professional Service Fund of Deborah Heart & Lung Center CurrentSince Jun 24, 2015 Accepting new patients
Professional Service Fund of Deborah- Anesthesia Current Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Deborah Heart and Lung Center Current Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Nov 1, 2019 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

324 Palisade Ave
Fl 2
Jersey City, NJ 07307
Phone (201) 386-1400

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

239 Hurffville Crosskeys Rd
Ste 350A
Sewell, NJ 08080
Phone (856) 589-0300

570 Egg Harbor Rd
Ste B1
Sewell, NJ 08080
Phone (856) 341-8495

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11366/brand/2/csg/1/fhir/r4
  • Direct secure messaging: mdonnell237497@directvirtua.org
  • Direct secure messaging: medrecs@deborah.medalliesdirect.net

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1003217480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032117",
            "telephone_number": "856-428-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 350A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804007",
            "country_code": "US",
            "telephone_number": "856-428-7700",
            "fax_number": "856-325-4196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Trenton Rd",
            "address_purpose": "LOCATION",
            "city": "Browns Mills",
            "state": "NJ",
            "postal_code": "080151705",
            "country_code": "US",
            "telephone_number": "609-893-6611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONNELL",
        "first_name": "MARY JO",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-04",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00519300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0464287",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdonnell237497@directvirtua.org",
            "affiliation": "N",
            "address_1": "1935 Route 70 E",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080032117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdonnell237497@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 350A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.