Individual provider Active NPI

Jordan Hopchik, CRNP

  • Family Nurse Practitioner
  • Runnemede, NJ
National Provider Identifier
1285747758
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00233000 Issued in NJ
Practice address
824 N Black Horse Pike
Runnemede, NJ 08078-1034
Phone
(856) 939-5656
NPI assigned
Aug 17, 2006
Last updated
Jan 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SP007813 PA
Family Nurse Practitioner 363LF0000X SP007813 PA
Family Nurse Practitioner 363LF0000X 26NJ00233000 NJ Primary

Addresses

Primary practice location

824 N Black Horse Pike
Runnemede, NJ 08078-1034

Mailing address

824 N Black Horse Pike
Runnemede, NJ 08078-1034
Phone (856) 939-5656

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
I20180402000493 NJ Practitioner - Nurse Practitioner 6608138607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP007813PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Healthcare & Hospice, Inc. CurrentSince Dec 18, 2017 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince Apr 30, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 30, 2018 Accepting new patients

Locations

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

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

5 Eves Dr
Ste 300
Marlton, NJ 08053
Phone (856) 596-1600

128 Route 70
Rm C
Medford, NJ 08055

128 Route 70
Ste 1
Medford, NJ 08055
Phone (609) 367-0900

3906 Church Rd
#P
Mount Laurel, NJ 08054
Phone (856) 552-3261

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": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1285747758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781034",
            "telephone_number": "856-939-5656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 N BLACK HORSE PIKE",
            "city": "RUNNEMEDE",
            "state": "NJ",
            "postal_code": "080781034",
            "telephone_number": "856-939-5656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOPCHIK",
        "first_name": "JORDAN",
        "name_prefix": "Dr.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-17",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP007813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP007813",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00233000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Runnemede, NJ

Sources for this page

Verify at the official NPI Registry.