Individual provider Active NPI

Abraham S. Horn, D.O.

  • Gastroenterology Physician
  • Marlton, NJ
National Provider Identifier
1053371815
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MB04078500 Issued in NJ
Practice address
406 Lippincott Drive
Suite E
Marlton, NJ 08053-4168
Phone
(856) 983-1900
Fax
(856) 983-1914
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 04078500 NJ
Gastroenterology Physician 207RG0100X MB04078500 NJ
Gastroenterology Physician 207RG0100X 25MB04078500 NJ Primary

Addresses

Primary practice location

406 Lippincott Drive
Suite E
Marlton, NJ 08053-4168

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
2056909MedicaidNJ

Electronic endpoints 9

TypeEndpointUseAffiliation
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@directvirtua.org
Direct Messaging Address ahorn18349@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
I20081105000237 NJ Practitioner - Gastroenterology 4486695814 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04078500NJMDGastroenterology Physician
25MB04078500NJMDGastroenterology Physician
MB04078500NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA Gastroenterology Current Accepting new patients

Locations

501 5th St
Ste C
Atco, NJ 08004
Phone (856) 753-3006

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

807 N Haddon Ave
Ste 201
Haddonfield, NJ 08033
Phone (856) 428-2112

106 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 265-9993

111 Vine St
Hammonton, NJ 08037
Phone (609) 561-2518

777 Route 70 E
Ste G101
Marlton, NJ 08053
Phone (856) 818-4020

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

406 Lippincott Dr
Ste E
Marlton, NJ 08053
Phone (856) 770-1920

524 Williamstown Rd
Ste A
Sicklerville, NJ 08081
Phone (856) 728-1181

1529 Route 206
Ste L
Tabernacle, NJ 08088
Phone (609) 268-0707

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1053371815",
    "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": "406 LIPPINCOTT DRIVE",
            "address_2": "SUITE E",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534168",
            "telephone_number": "856-983-1900",
            "fax_number": "856-983-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORN",
        "first_name": "ABRAHAM",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "04078500",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MB04078500",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MB04078500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2056909",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "106 Creek Crossing Blvd",
            "city": "Hainesport",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080362765",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "807 N Haddon Ave Ste 201",
            "city": "Haddonfield",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080331749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Berlin Cross Keys Rd",
            "city": "Berlin",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080099263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "501 5th St Ste C",
            "city": "Atco",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080041861",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "406 Lippincott Drive",
            "address_2": "Suite E",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "111 Vine St",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080371447",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "1529 Route 206 Ste L",
            "city": "Tabernacle",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080888801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "524 Williamstown Rd Ste A",
            "city": "Sicklerville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080811800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ahorn18349@directvirtua.org",
            "affiliation": "N",
            "address_1": "777 Route 70 E Ste G101",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.