Individual provider Active NPI

Ryan Schroeder, M.D.

  • Family Medicine Physician
  • Moorestown, NJ
National Provider Identifier
1043448624
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10545300 Issued in NJ
Practice address
401 Young Ave Ste 260a
Moorestown, NJ 08057
Phone
(856) 291-8756
Fax
(856) 291-8750
NPI assigned
Jun 23, 2009
Last updated
Oct 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD444198 PA
Family Medicine Physician 207Q00000X 25MA10545300 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 260a
Moorestown, NJ 08057

Mailing address

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

Other practice location 1

605 N Bethlehem Pike
Lower Gwynedd, PA 19002-2501
Phone (215) 646-9220

Other practice location 2

721 Arbor Way
Suite 105
Blue Bell, PA 19422-1917
Phone (215) 646-9220

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rschroeder99603@directvirtua.org
Direct Messaging Address rschroeder99603@directvirtua.org
Direct Messaging Address rschroeder99603@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190808003663 NJ Practitioner - Family Practice 1557527769 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD444198PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 29, 2019 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Jul 25, 2019 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 29, 2019 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

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

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

401 Young Ave
Ste 260A
Moorestown, NJ 08057
Phone (856) 291-8756

Interoperability endpoints

  • Direct secure messaging: rschroeder99603@directvirtua.org

Organizations & group practices 4

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

Hospital & facility affiliations 10

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": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1043448624",
    "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",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 260A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-291-8756",
            "fax_number": "856-291-8750"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 N Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Lower Gwynedd",
            "state": "PA",
            "postal_code": "190022501",
            "country_code": "US",
            "telephone_number": "215-646-9220",
            "fax_number": "215-646-0715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "721 Arbor Way",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194221917",
            "country_code": "US",
            "telephone_number": "215-646-9220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "RYAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD444198",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10545300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rschroeder99603@directvirtua.org",
            "affiliation": "N",
            "address_1": "605 N Bethlehem Pike",
            "city": "Lower Gwynedd",
            "state": "PA",
            "country_code": "US",
            "postal_code": "190022501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rschroeder99603@directvirtua.org",
            "affiliation": "N",
            "address_1": "721 Arbor Way",
            "address_2": "Suite 105",
            "city": "Blue Bell",
            "state": "PA",
            "country_code": "US",
            "postal_code": "194221917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rschroeder99603@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 260A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.