Individual provider Active NPI

Justine Diane Spisak-Mosher, DO

  • Neurology Physician
  • Marlton, NJ
National Provider Identifier
1235421033
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
25MB11742000 Issued in NJ
Practice address
1001 Route 73 North Main Level
Marlton, NJ 08053-4524
Phone
(856) 988-3444
NPI assigned
May 11, 2011
Last updated
Feb 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO195565 OR
Neurology Physician 2084N0400X DO2230 NV
Neurology Physician 2084N0400X 25MB11742000 NJ Primary
Neurology Physician 2084N0400X OS017646 PA

Addresses

Primary practice location

1001 Route 73 North Main Level
Marlton, NJ 08053-4524

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 988-3444

Other practice location 1

75 Pringle Way Ste 401
Reno, NV 89502-1476
Phone (775) 982-5000

Other practice location 2

1001 Route 73 North Upper Level A
Marlton, NJ 08053
Phone (856) 988-3444

Other practice location 3

401 Young Ave Suite 165B
Moorestown, NJ 08057
Phone (856) 988-3444

Other practice location 4

239 Hurffville Crosskeys Rd Ste 480A
Sewell, NJ 08080-4002
Phone (856) 988-3444

Other practice location 5

9135 SW Barnes Rd Ste 461
Portland, OR 97225-6643
Phone (503) 216-1150

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address jspisakmosher244341@directvirtua.org
Direct Messaging Address jspisakmosher244341@directvirtua.org
Direct Messaging Address jspisakmosher244341@directvirtua.org
Direct Messaging Address jspisakmosher244341@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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230225000217 NJ Practitioner - Neurology 7012237134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Philadelphia College of Osteopathic Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1001 Route 73 N
Marlton, NJ 08053-4524

19 W Main St
Maple Shade, NJ 08052-2411

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

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

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
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB11742000NJMDNeurology Physician
OS017646PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 1, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2023 Accepting new patients

Locations

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

1001 Route 73 N
Marlton, NJ 08053
Phone (856) 355-7120

1001 Route 73 N
Uppr
Marlton, NJ 08053
Phone (856) 355-7137

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

401 Young Ave
Ste 165B
Moorestown, NJ 08057

239 Hurffville Crosskeys Rd
Ste 480A
Sewell, NJ 08080

Interoperability endpoints

  • Direct secure messaging: jspisakmosher244341@directvirtua.org

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.

Hospital & facility affiliations 4

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": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1235421033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-988-3444",
            "fax_number": "856-988-0553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 ROUTE 73 NORTH MAIN LEVEL",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534524",
            "telephone_number": "856-988-3444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "75 Pringle Way Ste 401",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021476",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-2973",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Route 73 North Upper Level A",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-988-3444",
            "fax_number": "856-988-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Suite 165B",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "08057",
            "country_code": "US",
            "telephone_number": "856-988-3444",
            "fax_number": "856-988-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 480A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804002",
            "country_code": "US",
            "telephone_number": "856-988-3444",
            "fax_number": "856-988-0553",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9135 SW Barnes Rd Ste 461",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972256643",
            "country_code": "US",
            "telephone_number": "503-216-1150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPISAK-MOSHER",
        "first_name": "JUSTINE",
        "middle_name": "DIANE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-11",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "OR",
            "license": "DO195565",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NV",
            "license": "DO2230",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NJ",
            "license": "25MB11742000",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "OS017646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspisakmosher244341@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Route 73 North Upper Level A",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspisakmosher244341@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Route 73 North Main Level",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534524",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspisakmosher244341@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Suite 165B",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jspisakmosher244341@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 480A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.