Individual provider Active NPI

Jennifer Marie Windstein, PA-C

  • Medical Physician Assistant
  • Marlton, NJ
National Provider Identifier
1154440774
Registry record updated Jun 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00146700 Issued in NJ
Practice address
733 E Route 70 Ste 201
Marlton, NJ 08053-2335
Phone
(609) 451-2020
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00146700 NJ Primary

Addresses

Primary practice location

733 E Route 70 Ste 201
Marlton, NJ 08053-2335

Mailing address

733 East Route 70
Building 2 Ste 201
Marlton, NJ 08053
Phone (609) 451-2020

Other identifiers 1

IdentifierTypeStateIssuer
A400008573MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20181004001454 PA Practitioner - Physician Assistant 5193882116 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00146700NJMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Temple Faculty Practice Plan Inc CurrentSince Mar 6, 2019 Accepting new patients
Temple Faculty Practice Plan, Inc CurrentSince Mar 6, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Past Accepting new patients

Locations

1811 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 402-0800

3509 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2433

1316 W Ontario St
Philadelphia, PA 19140
Phone (215) 707-2400

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

8815 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8145

10 Shurs Ln
Philadelphia, PA 19127
Phone (215) 482-0899

1331 E Wyoming Ave
Philadelphia, PA 19124
Phone (215) 537-7400

9433 Roosevelt Blvd
Philadelphia, PA 19114

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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498521600000",
    "number": "1154440774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 EAST ROUTE 70",
            "address_2": "BUILDING 2 STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "609-451-2020",
            "fax_number": "609-451-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E ROUTE 70 STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532335",
            "telephone_number": "609-451-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDSTEIN",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2017-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00146700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A400008573",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.