Individual provider Active NPI

Athena Sinha Brotman, MD

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1285012443
Registry record updated Oct 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA10930700 Issued in NJ
Practice address
2339 Route 70 W FL 2
Cherry Hill, NJ 08002-3315
Phone
(856) 532-9519
NPI assigned
May 8, 2015
Last updated
Oct 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD464949 PA
Family Medicine Physician 207Q00000X 25MA10930700 NJ Primary

Addresses

Primary practice location

2339 Route 70 W FL 2
Cherry Hill, NJ 08002-3315

Mailing address

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

Other practice location 1

1125 7th Ave
Beaver Falls, PA 15010-4426
Phone (724) 773-8900

Other practice location 2

5753 Wayne Avenue
Philadelphia, PA 19144
Phone (215) 848-8800

Other identifiers 1

IdentifierTypeStateIssuer
103211413MedicaidPA

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
I20201002000344 NJ Practitioner - Family Practice 5092010678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

2339 Route 70 W
Cherry Hill, NJ 08002-3315
Phone (800) 826-6737

504 White Horse Pike
Haddon Heights, NJ 08035-1709
Phone (856) 546-7990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10930700NJMDFamily Medicine Physician
MD464949PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine PC Family Medicine CurrentSince Aug 29, 2020 Accepting new patients
Cooper Family Medicine, PC Family Medicine CurrentSince Aug 29, 2020 Accepting new patients
The Cooper Health System Past Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

2339 Route 70 W
Fl 2
Cherry Hill, NJ 08002
Phone (856) 532-9519

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

Interoperability endpoints

  • Direct secure messaging: abrotman102082@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 6

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": "1431043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602633600000",
    "number": "1285012443",
    "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": "2339 ROUTE 70 W FL 2",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023315",
            "telephone_number": "856-532-9519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 7th Ave",
            "address_purpose": "LOCATION",
            "city": "Beaver Falls",
            "state": "PA",
            "postal_code": "150104426",
            "country_code": "US",
            "telephone_number": "724-773-8900",
            "fax_number": "724-770-7947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5753 Wayne Avenue",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19144",
            "country_code": "US",
            "telephone_number": "215-848-8800",
            "fax_number": "215-848-6036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROTMAN",
        "first_name": "ATHENA",
        "middle_name": "SINHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-08",
        "last_updated": "2020-10-14",
        "certification_date": "2020-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD464949",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA10930700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103211413",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.