Individual provider Active NPI

Athena Maria Yudin

  • Pediatrics Physician
  • Marlton, NJ
National Provider Identifier
1174171086
Registry record updated Aug 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
26NJ00951900 Issued in NJ
Practice address
525 Route 73 S Ste 102
Marlton, NJ 08053-9643
Phone
(856) 596-3434
NPI assigned
Sep 4, 2019
Last updated
Aug 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 26NJ00951900 NJ Primary

Addresses

Primary practice location

525 Route 73 S Ste 102
Marlton, NJ 08053-9643

Mailing address

401 Route 73 N BLDG 10, Suite 320
Marlton, NJ 08053
Phone (856) 872-7055

Other practice location 1

123 Egg Harbor Rd Ste 206
Sewell, NJ 08080-9406
Phone (856) 227-5437

Other practice location 2

856 S White Horse Pike Unit 2
Hammonton, NJ 08037-2032
Phone (609) 704-8848

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
I20200505002381 NJ Practitioner - Nurse Practitioner 2961833082 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC Pediatrics CurrentSince Jun 1, 2020 Accepting new patients
Advocare , LLC CurrentSince Jun 1, 2020 Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients
Pinelands Pediatric Medicine LLC Pediatrics PastSince Sep 1, 2019 Accepting new patients

Locations

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

856 S White Horse Pike
Unit 2
Hammonton, NJ 08037
Phone (609) 704-8848

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

525 Route 73 S
Ste 102
Marlton, NJ 08053
Phone (856) 596-3434

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

123 Egg Harbor Rd
Ste 206
Sewell, NJ 08080
Phone (856) 227-5437

Interoperability endpoints

  • Direct secure messaging: athenamaria.yudin@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754265600000",
    "number": "1174171086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N BLDG 10, SUITE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-872-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 ROUTE 73 S STE 102",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539643",
            "telephone_number": "856-596-3434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Egg Harbor Rd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809406",
            "country_code": "US",
            "telephone_number": "856-227-5437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "856 S White Horse Pike Unit 2",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372032",
            "country_code": "US",
            "telephone_number": "609-704-8848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YUDIN",
        "first_name": "ATHENA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2025-08-04",
        "certification_date": "2025-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "26NJ00951900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.