Individual provider Active NPI

Jane Fowler, P.A.

  • Medical Physician Assistant
  • Voorhees, NJ
National Provider Identifier
1235313586
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00096200 Issued in NJ
Practice address
200 Bowman Dr Ste E140
Voorhees, NJ 08043-9631
Phone
(856) 983-4263
Fax
(856) 983-9362
NPI assigned
Dec 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00096200 NJ Primary

Addresses

Primary practice location

200 Bowman Dr Ste E140
Voorhees, NJ 08043-9631

Mailing address

301 Lippincott Dr Ste 120
Marlton, NJ 08053-4197
Phone (856) 355-0335

Other practice location 1

1311 Fairview Blvd Ste B
Delran, NJ 08075-1474
Phone (856) 764-8804

Other practice location 2

570 Egg Harbor Rd Ste B1
Sewell, NJ 08080-2359
Phone (856) 341-8495

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jfowler12713@directvirtua.org
Direct Messaging Address jfowler12713@directvirtua.org
Direct Messaging Address jfowler12713@directvirtua.org

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
I20170306000462 NJ Practitioner - Physician Assistant 9638306939 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

175 Madison Ave
Mount Holly, NJ 08060-2038

200 Bowman Dr
Suite E365
Voorhees, NJ 08043-9639
Phone (856) 247-7295

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 1, 2017 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2017 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Virtua Medical Group, PA PastSince Aug 1, 2019 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1311 Fairview Blvd
Ste B
Delran, NJ 08075
Phone (856) 368-3216

534 Lippincott Dr
Marlton, NJ 08053
Phone (856) 355-7146

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

570 Egg Harbor Rd
Ste B1
Sewell, NJ 08080
Phone (856) 341-8495

200 Bowman Dr
Ste E140
Voorhees, NJ 08043
Phone (856) 768-1873

Interoperability endpoints

  • Direct secure messaging: jfowler12713@directvirtua.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1198195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1235313586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 120",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0335",
            "fax_number": "856-355-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E140",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439631",
            "telephone_number": "856-983-4263",
            "fax_number": "856-983-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Fairview Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080751474",
            "country_code": "US",
            "telephone_number": "856-764-8804",
            "fax_number": "856-983-3894",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Egg Harbor Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-341-8495",
            "fax_number": "856-341-8496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOWLER",
        "first_name": "JANE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-21",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00096200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler12713@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 140",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler12713@directvirtua.org",
            "affiliation": "N",
            "address_1": "570 Egg Harbor Rd Ste B1",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jfowler12713@directvirtua.org",
            "affiliation": "N",
            "address_1": "1311 Fairview Blvd Ste B",
            "city": "Delran",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080751474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.