Individual provider Active NPI

Cynthia Nossen, PA

  • Physician Assistant
  • Moorestown, NJ
National Provider Identifier
1316087653
Registry record updated Nov 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00153400 Issued in NJ
Practice address
300 W Route 38 Ste a
Moorestown, NJ 08057-3424
Phone
(609) 267-9400
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00153400 NJ Primary

Addresses

Primary practice location

300 W Route 38 Ste a
Moorestown, NJ 08057-3424

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197

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
I20080725000091 NJ Practitioner - Physician Assistant 2860425469 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
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

131 Route 70
Suite 100
Medford, NJ 08055-9501
Phone (856) 673-3960

175 Madison Ave
Mount Holly, NJ 08060-2038

3242 Route 206
Bordentown, NJ 08505-4517

570 Egg Harbor Rd
Sewell, NJ 08080-2359

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

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
25MP00153400NJMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Physician Assistant CurrentSince Jul 19, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 19, 2023 Accepting new patients
Virtua Medical Group, PA PastSince Nov 26, 2023 Accepting new patients

Locations

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

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

63 Kresson Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 427-9004

325 Route 70 E
Cherry Hill, NJ 08034
Phone (856) 528-5370

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

131 Route 70
#100
Medford, NJ 08055
Phone (856) 630-7468

300 W Route 38
Moorestown, NJ 08057
Phone 60926794001224

300 W Route 38
Ste A
Moorestown, NJ 08057
Phone (856) 673-3960

614 Lambs Rd
Unit C
Pitman, NJ 08071
Phone (856) 256-0051

570 Egg Harbor Rd
Ste C4
Sewell, NJ 08080
Phone (856) 256-0051

Interoperability endpoints

  • Direct secure messaging: cnossen19658@directvirtua.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700784000000",
    "number": "1316087653",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W ROUTE 38 STE A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573424",
            "telephone_number": "609-267-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOSSEN",
        "first_name": "CYNTHIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-07",
        "last_updated": "2023-11-24",
        "certification_date": "2023-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00153400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.