Active NPI
Archna Jain, MD
- Pediatrics Physician
- Vineland, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA48345
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2600641 | Other | GROUP HEALTH INC | |
| J5558 | Other | BLUE SHIELD NJ HMO | |
| 1000202800 | Other | AMERICHOICE | |
| 1043194 | Other | HORIZON NJ HEALTH | |
| NJ1018 | Other | BLUE SHIELD OF DELAWARE | |
| 1325521 | Other | FIRST HEALTH GROUP CORP | |
| 3847209 | Other | AMERIGROUP | |
| P391706 | Other | OXFORD HEALTH PLANS | |
| 3847209 | Medicaid | NJ | |
| F09359 | Other | PHYSICIANS HEALTH | |
| 440297000 | Other | AMERIHEALTH | |
| 35560 | Other | UNIVERSITY HEALTH CARE | |
| 10915 | Other | AETNA HMO | |
| 78K411 | Other | BLUE SHIELD OF NY EMPIRE | |
| 4104693 | Other | AETNA MANAGED CARE | |
| 4131540 | Other | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA48345 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Excelcare Alliance, LLC | Pediatrics | Current | 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
- archna.jain.2@12810.direct.athenahealth.com
- 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.
-
- General Practice Physician
- Vineland, NJ
- NPI 1386839603
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.