Megan Pennisi, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00691700 Issued in NJ

Practice address

2171 Route 70 W
Cherry Hill, NJ 08002-2733

Phone

(856) 406-0023

NPI assigned

Sep 29, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in PA, NJ2 enrollments

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 2

Specialty

Physician Assistant

Education

Other, 2019

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)

Hospital & facility affiliations

• Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: njexchange@patientfirstclinics.com
• Direct secure messaging: mpennisi224877@directvirtua.org

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment Care Compare group NPD (past)
• Main Line Emergency Med Associates LLC

  • Emergency Medicine Physician
  • Paoli, PA
  • NPI 1316919368
  Medicare reassignment
• Main Line Healthcare

  • Family Medicine Physician
  • Newtown Square, PA
  • NPI 1922077643
  Medicare reassignment
• Patient First New Jersey Physicians Group LLC

  • Family Medicine Physician
  • Woodbury, NJ
  • NPI 1396528980
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Mullica Hill, NJ
  • NPI 1336560432
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Bryn Mawr Medical Specialists Association

  • Specialist
  • Bryn Mawr, PA
  • NPI 1598216533

  Medical

  NPD (past)
• Bryn Mawr Medical Specialists Association

  • Multi-Specialty Clinic/Center
  • Bryn Mawr, PA
  • NPI 1841226099
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Virtua - Memorial Hospital Burlington County, Inc.

  • General Acute Care Hospital
  • Mount Holly, NJ
  • NPI 1134125016
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1538179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1326523978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2171 ROUTE 70 W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022733",
            "telephone_number": "856-406-0023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "825 Old Lancaster Rd Ste 420",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103236",
            "country_code": "US",
            "telephone_number": "610-527-4896",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Old Lancaster Rd Ste 209",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103118",
            "country_code": "US",
            "telephone_number": "610-525-1061",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "212 Creek Crossing Blvd",
            "address_purpose": "LOCATION",
            "city": "Hainesport",
            "state": "NJ",
            "postal_code": "080362766",
            "country_code": "US",
            "telephone_number": "609-267-1004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PENNISI",
        "first_name": "MEGAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-29",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00691700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mpennisi224877@directvirtua.org",
            "affiliation": "N",
            "address_1": "212 Creek Crossing Blvd",
            "city": "Hainesport",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080362766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2171 Route 70 W",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080022733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Geraldine Pena
• Pedro J Pena, LMT
• Penn Family Medicine at Cherry Hill
• Penn Prespyterian Medical Center of the University of Pennsylvania Hea
• Ilana Penna, MSCCCSLP
• Pennsylvania Health & Wellness Center
• Kristi L Pennypacker, SLP
• Marlon Peralta
• Samantha Peraza, MSN, APRN, CCRN
• Anne M Peregmon, DPT

• Medical Physician Assistant in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.