Individual provider Active NPI

Saadia R Rehman, D.O.

  • Internal Medicine Physician
  • Maple Shade, NJ
National Provider Identifier
1316921414
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB07807300 Issued in NJ
Practice address
19 W Main St Ste C
Maple Shade, NJ 08052-2411
Phone
(856) 779-7386
Fax
(856) 779-7563
NPI assigned
Dec 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB07807300 NJ Primary
Internal Medicine Physician 207R00000X OS014014 PA

Addresses

Primary practice location

19 W Main St Ste C
Maple Shade, NJ 08052-2411

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

651 John F Kennedy Way
Willingboro, NJ 08046-1262
Phone (609) 835-2383

Other practice location 2

651 John F Kennedy Way
Willingboro, NJ 08046-1262
Phone (609) 835-2383

Other practice location 3

6100 Main St
Voorhees, NJ 08043
Phone (856) 763-2783

Other identifiers 10

IdentifierTypeStateIssuer
1502540OtherAETNA
2836116000OtherAMERIHEALTH HMO, PPO, KEYSTONE
44650OtherUNIVERSITY HEALTHPLAN
0128996MedicaidNJ
012278311OtherAMERICHOICE
60033818OtherHORIZON NJ HEALTH
2316488OtherUNITED HEALTHCARE
3K7603OtherHEALTHNET
8718432OtherCIGNA
02411714MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address srehman118483@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
I20070703000214 NJ Practitioner - Internal Medicine 5294728853 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1999
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)

19 W Main St
Suite C
Maple Shade,, NJ 08052-2411
Phone (856) 779-7386

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07807300NJMDInternal Medicine Physician
OS014014PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 23, 2020 Accepting new patients
Virtua Medical Group, PA Internal Medicine CurrentSince Mar 23, 2020 Accepting new patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Mar 13, 2007 Accepting new patients
Beth Israel Medical Center Internal Medicine Past Accepting new patients

Locations

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

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Federal St
#200
Camden, NJ 08103

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920

19 W Main St
Ste C
Maple Shade, NJ 08052
Phone (856) 779-7386

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

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 11

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1316921414",
    "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": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W MAIN ST STE C",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080522411",
            "telephone_number": "856-779-7386",
            "fax_number": "856-779-7563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "651 John F Kennedy Way",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461262",
            "country_code": "US",
            "telephone_number": "609-835-2383",
            "fax_number": "609-589-3841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 John F Kennedy Way",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461262",
            "country_code": "US",
            "telephone_number": "609-835-2383",
            "fax_number": "609-589-3841",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Main St",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-763-2783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REHMAN",
        "first_name": "SAADIA",
        "middle_name": "R",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB07807300",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS014014",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1502540",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO, PPO, KEYSTONE",
            "identifier": "2836116000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTHPLAN",
            "identifier": "44650",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0128996",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "012278311",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60033818",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2316488",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K7603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8718432",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02411714",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "srehman118483@directvirtua.org",
            "affiliation": "N",
            "address_1": "19 W Main St Ste C",
            "city": "Maple Shade",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080522411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maple Shade, NJ

Sources for this page

Verify at the official NPI Registry.