Individual provider Active NPI

Sean R. Crocker, PA-C

  • Surgical Physician Assistant
  • Mercerville, NJ
National Provider Identifier
1346285277
Registry record updated Dec 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00097700 Issued in NJ
Practice address
1225 Whitehorse Mercerville Rd
Suite 220
Mercerville, NJ 08619-3882
Phone
(609) 581-2200
Fax
(609) 581-9627
NPI assigned
Jun 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 25MP00097700 NJ Primary

Addresses

Primary practice location

1225 Whitehorse Mercerville Rd
Suite 220
Mercerville, NJ 08619-3882

Mailing address

1225 Whitehorse Mercerville Rd
Suite 220
Mercerville, NJ 08619-3882
Phone (609) 581-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 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

Enrollment IDStateProvider typePAC IDDetails
I20060103000453 NJ Practitioner - Physician Assistant 2567483613 Reassigns benefits to 1 organization
I20111214000546 PA Practitioner - Physician Assistant 2567483613 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rothman Orthopaedics of New Jersey, LLCGroup PAC ID 6709864846, 175 clinicians
Reconstructive Orthopaedic Associates II LLCGroup PAC ID 7416845318, 274 clinicians

Practice addresses (Care Compare)

100 K Johnson Blvd
Suite 202
Bordentown, NJ 08505-2275
Phone (800) 321-9999

116 Washington Crossing Rd
Pennington, NJ 08534-2514
Phone (609) 581-2200

3300 Tillman Dr
FL 2
Bensalem, PA 19020-2071
Phone (215) 642-6900

925 Chestnut St
FL 5
Philadelphia, PA 19107-4206
Phone (267) 339-3500

999 Route 73 N
Suite 401
Marlton, NJ 08053-1227
Phone (800) 321-9999

Hospital & facility affiliations

  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Sep 18, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 18, 2017 Accepting new patients
Reconstructive Orthopaedic Associates II LLC CurrentSince Sep 18, 2017 Accepting new patients
Rothman Orthopaedics of New Jersey, LLC CurrentSince Sep 18, 2017 Accepting new patients

Locations

999 Route 73 N
Ste 401
Marlton, NJ 08053

1225 Whitehorse Mercerville Rd
Ste 220
Trenton, NJ 08619
Phone (609) 570-2212

750 Brunswick Ave
Trenton, NJ 08638
Phone (609) 394-6000

101 Pheasant Run
Newtown, PA 18940

925 Chestnut St
Fl 5
Philadelphia, PA 19107
Phone (267) 339-3738

833 Chestnut St
Ste 1402
Philadelphia, PA 19107
Phone (267) 339-3543

Interoperability endpoints

  • Direct secure messaging: sean.crocker@rot.eclinicaldirectplus.com

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 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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260835200000",
    "number": "1346285277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200",
            "fax_number": "609-581-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 WHITEHORSE MERCERVILLE RD",
            "address_2": "SUITE 220",
            "city": "MERCERVILLE",
            "state": "NJ",
            "postal_code": "086193882",
            "telephone_number": "609-581-2200",
            "fax_number": "609-581-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROCKER",
        "first_name": "SEAN",
        "middle_name": "R.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2009-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00097700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mercerville, NJ

Sources for this page

Verify at the official NPI Registry.