Anhthu Pham Pickart, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

25MP00360600 Issued in NJ

Practice address

1238 Chews Landing Rd
Clementon, NJ 08021-2808

Phone

(856) 497-5214

NPI assigned

Mar 2, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Atlanticare Physician Group PA

  • Clinic/Center
  • Egg Harbor Township, NJ
  • NPI 1093829608
  Medicare reassignment
• Maez Integrative Healthcare, LLC

  • Internal Medicine Physician
  • Linwood, NJ
  • NPI 1396352993
  Medicare reassignment
• Atlanticare Physician Group, PA

  dba AtlantiCare Urgent Care

  • Urgent Care Clinic/Center
  • Galloway, NJ
  • NPI 1003820622
  NPD
• Atlanticare Regional Medical Center

  • General Acute Care Hospital
  • Pomona, NJ
  • NPI 1013919315
  NPD (past)
• Mastermind Healthcare, LLC

  • Internal Medicine Physician
  • Atlantic City, NJ
  • NPI 1225798044
  NPD (past)

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1043602964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 NEW BRIDGE RD",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082346999",
            "telephone_number": "267-258-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1238 CHEWS LANDING RD",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080212808",
            "telephone_number": "856-497-5214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PICKART",
        "first_name": "ANHTHU",
        "middle_name": "PHAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00360600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maulika Patel
• Pathway Into the Community
• Pennreach
• Personalized Independent Living Opporuntities & Training Services (P.I.L.O.T. Services)
• Donna Marie Phillips
• Pinnacle Home Healthcare LLC
• Brandon Pisani, PA-C
• Paige Portner, LSW
• Pretty Hair Solutions
• Jacqueline Quinones

• Physician Assistant in Clementon, NJ
• Providers in Clementon, NJ by specialty
• Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.