Anna Focht
Individual provider Active NPI Physician Assistant · Delran, NJ
NPI 1164020442 · NPPES record last updated Mar 22, 2023
Key facts
- NPI
- 1164020442
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 25MP00683300 (NJ)
- Practice address
- 4000 Route 130 BLDG C
Delran, NJ 08075-2414 - Phone
- (856) 705-0685
- NPI assigned
- Oct 9, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220303001645 | PA | Practitioner - Physician Assistant | 7416341862 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA061681 | PA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient First Pennsylvania Medical Group PLLC | Current |
Accepting new patients | |
| Patient First Pennsylvania Medical Group PLLC | Current |
Accepting new patients |
Locations
5125 Jonestown Rd
Ste 105
Harrisburg, PA 17112
Phone (717) 943-1566
713 Bethlehem Pike
Montgomeryvle, PA 18936
Phone (267) 695-3944
5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355
Interoperability endpoints
- paexchange@patientfirstclinics.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA061681 | PA | |
| Physician Assistant | 363A00000X | 25MP00683300 | NJ | Yes |
Addresses
Primary practice location
4000 Route 130 BLDG C
Delran, NJ 08075-2414
Mailing address
5000 Cox Rd
Glen Allen, VA 23060-9263
Other practice location 1
5125 Jonestown Rd Ste 105
Harrisburg, PA 17112-2987
Phone (717) 943-1566
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | NJExchange@patientfirstclinics.com | Health Information Exchange (HIE) | |
| Direct Messaging Address | PAExchange@patientfirstclinics.com | Health Information Exchange (HIE) |
Other providers in Delran, NJ
- Enabling Health Services
- Jeffrey Errol Epstein
- Kelly Fabian
- Dalia Fakhry
- Lisa Joy Fetchko
- Jillian Nicole Foley
- Michael J Foreman
- Samuel L. Friedman
- Laurie Ann Frith
- Lauren B Gabler
All providers in Delran, NJ · Physician Assistant in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.