Individual provider Active NPI

Amber Sweeney, PA-C

  • Physician Assistant
  • Cinnaminson, NJ
National Provider Identifier
1053620104
Registry record updated Jun 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA054402 Issued in PA
Practice address
1210 Route 130 N
Cinnaminson, NJ 08077-3046
Phone
(856) 829-0407
NPI assigned
Oct 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA054402 PA Primary

Addresses

Primary practice location

1210 Route 130 N
Cinnaminson, NJ 08077-3046

Mailing address

1210 Route 130 N
Cinnaminson, NJ 08077-3046
Phone (856) 829-0407

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
I20140924002140 NJ Practitioner - Physician Assistant 1153540141 Reassigns benefits to 2 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
DRX Paramus, LLCGroup PAC ID 2466589585, 63 clinicians

Practice addresses (Care Compare)

1410 Delsea Dr
FL 2
Deptford, NJ 08096-4101
Phone (856) 579-8897

2001 College Dr
Suite 11
Clementon, NJ 08021-5617
Phone (856) 566-3333

875 Mantua Pike
Woodbury, NJ 08096-3337
Phone (856) 384-5949

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
70.23
Promoting interoperability
100
Improvement activities
40
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA054402PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
On Demand Urgent Care Group PC Past Accepting new patients
The Radiology Group of New Jersey, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1286323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465948800000",
    "number": "1053620104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 ROUTE 130 N",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773046",
            "telephone_number": "856-829-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 ROUTE 130 N",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080773046",
            "telephone_number": "856-829-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SWEENEY",
        "first_name": "AMBER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-06",
        "last_updated": "2016-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA054402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.