Individual provider Active NPI

Sandrine N. Martin, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Cherry Hill, NJ
National Provider Identifier
1225283476
Registry record updated Jul 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00075800 Issued in NJ
Practice address
1935 Route 70 E
Cherry Hill, NJ 08003
Phone
(856) 546-8527
NPI assigned
Dec 1, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2019

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 C5-0000577 DE
Physician Assistant 363A00000X 25MP00075800 NJ Primary

Addresses

Primary practice location

1935 Route 70 E
Cherry Hill, NJ 08003

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

1815 W 13th St
Suite 4
Wilmington, DE 19806-4054
Phone (302) 571-8958

Other practice location 2

1815 W 13th St
Suite 4
Wilmington, DE 19806-4054
Phone (302) 571-8958

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
I20160517001252 NJ Practitioner - Physician Assistant 1850566191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2339 Route 70 W
FL 3
Cherry Hill, NJ 08002-3315
Phone (856) 795-3597

3 Cooper PLZ
Camden, NJ 08103-1438

3 Cooper PLZ
RM 104
Camden, NJ 08103-1407
Phone (856) 968-7965

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C5-0000577DEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Apr 2, 2016 Accepting new patients
Stuart D. Shoengold, M.D., P.a. Past Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 Federal St
#200
Camden, NJ 08103

2 Cooper Plz
Ste Sj
Camden, NJ 08103

3 Cooper Plz
Rm 100
Camden, NJ 08103
Phone (856) 342-2040

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

1103 Kings Hwy N
Ste 101
Cherry Hill, NJ 08034
Phone (484) 802-0576

2339 Route 70 W
Ste 400
Cherry Hill, NJ 08002
Phone (856) 546-8525

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

221 Victoria St
Glassboro, NJ 08028
Phone (856) 536-1475

701 Route 73 N
Ste 7
Marlton, NJ 08053
Phone (856) 342-2959

1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

196 Grove Ave
Ste C
West Deptford, NJ 08086
Phone (856) 818-7577

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

3740 West Chester Pike
Newtown Square, PA 19073
Phone (610) 355-7594

Interoperability endpoints

  • Direct secure messaging: smartin49998@direct.cooperhealth.edu

Organizations & group practices 3

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 2

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

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562544000000",
    "number": "1225283476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1935 ROUTE 70 E",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "08003",
            "telephone_number": "856-546-8527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1815 W 13th St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198064054",
            "country_code": "US",
            "telephone_number": "302-571-8958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1815 W 13th St",
            "address_2": "Suite 4",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "DE",
            "postal_code": "198064054",
            "country_code": "US",
            "telephone_number": "302-571-8958",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "SANDRINE",
        "middle_name": "N.",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-01",
        "last_updated": "2019-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000577",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00075800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.