Individual provider Active NPI

Ashley Mary Roncone, PA-C, MS

  • Physician Assistant
  • Marlton, NJ
National Provider Identifier
1033414719
Registry record updated Jun 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00255000 Issued in PA
Practice address
4 Eves Dr # a
Suite 100
Marlton, NJ 08053-3195
Phone
(609) 267-9400
Fax
(609) 267-9457
NPI assigned
Jan 11, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00255000 NJ
Physician Assistant 363A00000X 25MP00255000 PA Primary

Addresses

Primary practice location

4 Eves Dr # a
Suite 100
Marlton, NJ 08053-3195

Mailing address

4 Eves Dr # a
Suite 100
Marlton, NJ 08053-3195
Phone (609) 267-9400

Other names 1

  • Ashley Mary Whittaker Former name

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
I20110512000030 NJ Practitioner - Physician Assistant 4486830296 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cape Regional Urgent Care LLC 36 clinicians
Atlanticare Physician Group PA 506 clinicians

Practice addresses (Care Compare)

11 Court House S Dennis Rd
Suite 3
Cape May Court House, NJ 08210

11 Court House S Dennis Rd
Suite 3
Cape May Court House, NJ 08210-2150
Phone (609) 465-6364

2500 English Creek Ave
Egg Harbor Township, NJ 08234-5549

3131 Route 38
Suite 14
Mount Laurel, NJ 08054-9757
Phone (856) 866-8700

406 W Rio Grande Ave
Wildwood, NJ 08260-1524
Phone (609) 465-6364

459 Route 9 S
Little Egg Harbor TWP, NJ 08087-2225
Phone (609) 340-7815

627 B Cross Keys Rd
Sicklerville, NJ 08081-9562
Phone (856) 728-8700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00255000NJMDPhysician Assistant
25MP00255000PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA CurrentSince Feb 1, 2016 Accepting new patients
Cape Regional Urgent Care LLC CurrentSince May 1, 2015 Accepting new patients
Rothman Institute of New Jersey, P.a. CurrentSince May 2, 2022 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Feb 1, 2016 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince May 2, 2022 Accepting new patients
Advanced Spine and Pain, LLC PastSince Feb 12, 2023 Accepting new patients
Advanced Spine and Pain LLC Past Accepting new patients
Reconstructive Orthopedics, PA Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Reconstructive Orthopedics, PA Physician Assistant Past Accepting new patients

Locations

11 Court House South Dennis Rd
Ste 3
Cape May Court House, NJ 08210
Phone (609) 465-6364

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

999 Route 73 N
Ste 401
Marlton, NJ 08053

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465430400000",
    "number": "1033414719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 EVES DR # A",
            "address_2": "SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533195",
            "telephone_number": "609-267-9400",
            "fax_number": "609-267-9457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EVES DR # A",
            "address_2": "SUITE 100",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533195",
            "telephone_number": "609-267-9400",
            "fax_number": "609-267-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONCONE",
        "first_name": "ASHLEY",
        "middle_name": "MARY",
        "credential": "PA-C, MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-11",
        "last_updated": "2016-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00255000",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "25MP00255000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ASHLEY",
            "last_name": "WHITTAKER",
            "middle_name": "MARY",
            "credential": "PA-C, MS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.