NPIMap

Individual provider Active NPI

Andrew J Blank, DO

  • General Practice Physician
  • Burlington, NJ
National Provider Identifier
1184720542
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
MB54820 Issued in NJ
Practice address
911 Sunset Rd
Burlington, NJ 08016-2250
Phone
(609) 387-8787
Fax
(609) 386-8640
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X MB54820 NJ Primary

Addresses

Primary practice location

911 Sunset Rd
Burlington, NJ 08016-2250

Mailing address

911 Sunset Rd
Burlington, NJ 08016-2250
Phone (609) 387-8787

Other identifiers 1

IdentifierTypeStateIssuer
1965301MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100820000096 NJ Practitioner - Family Practice 6406841113 Reassigns benefits to 1 organization
Practice locations: Burlington, NJ

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

911 Sunset Rd
Burlington, NJ 08016-2250
Phone (609) 387-8787

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB54820NJMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Longevity Clinical LTC Associates of New Jersey CurrentSince Jun 28, 2021 Accepting new patients
Advocare, LLC CurrentSince Mar 1, 2020 Accepting new patients
Advocare , LLC General Practice CurrentSince Mar 1, 2020 Accepting new patients
Virtua Willingboro Hospital Inc Past Accepting new patients
Advocare Past Accepting new patients
Virtua - Memorial Hospital Burlington County, Inc. Past Accepting new patients
Advocare, LLC Past Accepting new patients
Laurel Brook Operator LLC Past Accepting new patients
The Cooper Health System Past Accepting new patients
Cambridge Operator LLC Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

911 Sunset Rd
Burlngtn Twp, NJ 08016
Phone (609) 387-8787

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

1361 Route 72 W
Manahawkin, NJ 08050
Phone (609) 978-0600

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

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

Interoperability endpoints

  • Direct secure messaging: andrew.blank@advocaredoctors.eclinicaldirectplus.com
  • FHIR API: https://epicproxy.et1017.epichosted.com/FHIRProxy/api/FHIR/R4

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Laurel Brook Rehabilitation and Healthcare CenterMount Laurel, NJ, CCN 315524 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 7, 2017
Aug 7, 2017
Cambridge Rehabilitation and Healthcare CenterMoorestown, NJ, CCN 315201 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 31, 2020
Jan 31, 2020
Vitality Hospice and Palliative CareBurlington, NJ, CCN 311588 Hospice Contracted Managing Employee Feb 12, 2024

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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.

Hospital & facility affiliations 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184720542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "911 SUNSET RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162250",
            "telephone_number": "609-387-8787",
            "fax_number": "609-386-8640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 SUNSET RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080162250",
            "telephone_number": "609-387-8787",
            "fax_number": "609-386-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANK",
        "first_name": "ANDREW",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NJ",
            "license": "MB54820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1965301",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.