Individual provider Active NPI

Anudeep Momi, DO

  • Adult Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1225170954
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
MB 66137 Issued in NJ
Practice address
200 Route 73
Suite #1
Voorhees, NJ 08043-9542
Phone
(856) 809-0909
Fax
(856) 809-1919
NPI assigned
Feb 12, 2007
Last updated
Apr 2, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X MB 66137 NJ Primary

Addresses

Primary practice location

200 Route 73
Suite #1
Voorhees, NJ 08043-9542

Mailing address

200 Route 73
Suite #1
Voorhees, NJ 08043-9542
Phone (856) 809-0909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
MB 66137NJMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dorfner Family Medicine LLC PastSince Aug 17, 1990 Accepting new patients
Jefferson University Physicians Past Accepting new patients

Organizations & group practices 2

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": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1225170954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 ROUTE 73",
            "address_2": "SUITE #1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439542",
            "telephone_number": "856-809-0909",
            "fax_number": "856-809-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROUTE 73",
            "address_2": "SUITE #1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439542",
            "telephone_number": "856-809-0909",
            "fax_number": "856-809-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMI",
        "first_name": "ANUDEEP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NJ",
            "license": "MB 66137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.