Individual provider Active NPI

Jennifer L Raquet, PA-C

  • Physician Assistant
  • Lansdale, PA
National Provider Identifier
1184668006
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00179500 Issued in NJ
Practice address
417 Morris Rd
Lansdale, PA 19446-5606
Phone
(681) 258-0070
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00179500 NJ Primary
Surgical Physician Assistant 363AS0400X 25MP00179500 NJ

Addresses

Primary practice location

417 Morris Rd
Lansdale, PA 19446-5606

Mailing address

417 Morris Rd
Lansdale, PA 19446-5606
Phone (681) 258-0070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051130000438 PA Practitioner - Physician Assistant 6103846597 Reassigns benefits to 4 organizations
I20080404000009 NJ Practitioner - Physician Assistant 6103846597 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Medical Group of New JerseyGroup PAC ID 4082979166, 299 clinicians
MHP MD PLLCGroup PAC ID 6507258423, 45 clinicians

Practice addresses (Care Compare)

1120 Route 9
Old Bridge, NJ 08857-2860
Phone (732) 200-7800

401 Horsham Rd
Horsham, PA 19044-2013
Phone (215) 422-3646

48 A E Ridge Pike
Conshohocken, PA 19428-2117
Phone (484) 243-6735

651 Willow Grove St
Hackettstown, NJ 07840-1799
Phone (908) 979-1621

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00179500NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince May 2, 2025 Accepting new patients
MHP MD PLLC CurrentSince Oct 25, 2025 Accepting new patients
Advocare, LLC CurrentSince May 2, 2025 Accepting new patients

Locations

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

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

979 N Black Horse Pike
Williamstown, NJ 08094
Phone (856) 629-5151

48 E Ridge Pike
#A
Conshohocken, PA 19428
Phone (484) 243-6730

400 Fayette St
Ste 180
Conshohocken, PA 19428
Phone (484) 243-6622

180 W Girard Ave
Ste 108
Philadelphia, PA 19123
Phone (267) 319-8047

Interoperability endpoints

  • Direct secure messaging: jennifer.raquet.1@23060.direct.athenahealth.com

Organizations & group practices 11

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1184668006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 MORRIS RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465606",
            "telephone_number": "681-258-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 MORRIS RD",
            "city": "LANSDALE",
            "state": "PA",
            "postal_code": "194465606",
            "telephone_number": "681-258-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAQUET",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00179500",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00179500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansdale, PA

Sources for this page

Verify at the official NPI Registry.