Individual provider Active NPI

Archna Jain, MD

  • Pediatrics Physician
  • Vineland, NJ
National Provider Identifier
1235107301
Registry record updated Mar 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MA48345 Issued in NJ
Practice address
1138 E Chestnut Ave
#5B
Vineland, NJ 08360-5062
Phone
(856) 692-1108
Fax
(856) 692-2077
NPI assigned
Mar 14, 2006
Last updated
Mar 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 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 MA48345 NJ Primary

Addresses

Primary practice location

1138 E Chestnut Ave
#5B
Vineland, NJ 08360-5062

Mailing address

1138 E Chestnut Ave
#5B
Vineland, NJ 08360-5062
Phone (856) 692-1108

Other identifiers 16

IdentifierTypeStateIssuer
2600641OtherGROUP HEALTH INC
J5558OtherBLUE SHIELD NJ HMO
1000202800OtherAMERICHOICE
1043194OtherHORIZON NJ HEALTH
NJ1018OtherBLUE SHIELD OF DELAWARE
1325521OtherFIRST HEALTH GROUP CORP
3847209OtherAMERIGROUP
P391706OtherOXFORD HEALTH PLANS
3847209MedicaidNJ
F09359OtherPHYSICIANS HEALTH
440297000OtherAMERIHEALTH
35560OtherUNIVERSITY HEALTH CARE
10915OtherAETNA HMO
78K411OtherBLUE SHIELD OF NY EMPIRE
4104693OtherAETNA MANAGED CARE
4131540OtherCIGNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address archna.jain.2@12810.direct.athenahealth.com

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130104000031 NJ Practitioner - Pediatric Medicine 7810140654 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA48345NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Excelcare Alliance, LLC Pediatrics CurrentSince Aug 28, 2013 Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Dendrinos Medical Associates, P.a. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1138 E Chestnut Ave
Bldg A
Vineland, NJ 08360
Phone (856) 691-1230

1138 E Chestnut Ave
Ste 5B
Vineland, NJ 08360
Phone (856) 692-1108

2020 E Chestnut Ave
Vineland, NJ 08361
Phone (856) 563-1600

76 S State St
Vineland, NJ 08360
Phone (856) 205-1112

Interoperability endpoints

  • Direct secure messaging: archna.jain.2@12810.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/12810/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742860800000",
    "number": "1235107301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 E CHESTNUT AVE",
            "address_2": "#5B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605062",
            "telephone_number": "856-692-1108",
            "fax_number": "856-692-2077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 E CHESTNUT AVE",
            "address_2": "#5B",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605062",
            "telephone_number": "856-692-1108",
            "fax_number": "856-692-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "ARCHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2025-03-25",
        "certification_date": "2025-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "MA48345",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH INC",
            "identifier": "2600641",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NJ HMO",
            "identifier": "J5558",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "1000202800",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "1043194",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF DELAWARE",
            "identifier": "NJ1018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH GROUP CORP",
            "identifier": "1325521",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "3847209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTH PLANS",
            "identifier": "P391706",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3847209",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH",
            "identifier": "F09359",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "440297000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH CARE",
            "identifier": "35560",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "10915",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF NY EMPIRE",
            "identifier": "78K411",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MANAGED CARE",
            "identifier": "4104693",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4131540",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "archna.jain.2@12810.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1138 E Chestnut Ave",
            "address_2": "#5B",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "083605062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.