Individual provider Active NPI

Alisa Benson Modena, M.D.

  • Maternal & Fetal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1346297298
Registry record updated Mar 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
25MA08055000 Issued in NJ
Practice address
101 Carnie Blvd
Voorhees, NJ 08043-1548
Phone
(856) 325-3328
Fax
(856) 325-3276
NPI assigned
May 27, 2006
Last updated
Mar 8, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 25MA08055000 NJ Primary

Addresses

Primary practice location

101 Carnie Blvd
Voorhees, NJ 08043-1548

Mailing address

1502 Hillside Dr
Cherry Hill, NJ 08003-3504
Phone (856) 429-3149

Other practice location 1

2401 E Evesham Rd Ste A2
Voorhees, NJ 08043-9590
Phone (856) 489-5700

Other names 1

  • Miss Alisa Benson Former name

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
I20060814000297 NJ Practitioner - Obstetrics/Gynecology 8628071677 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Perinatology Associates, PCGroup PAC ID 8628975695, 6 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2921

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Sep 11, 2018 Accepting new patients
Atlanticare Physician Group PA Current Accepting new patients
Cooper Perinatology Associates, PC Maternal & Fetal Medicine CurrentSince Aug 1, 2015 Accepting new patients
Cooper Obstetrical Associates, PC Maternal & Fetal Medicine CurrentSince Jul 29, 2016 Accepting new patients
Regional Women's Health Group, LLC Maternal & Fetal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Regional Womens Health Group LLC Maternal & Fetal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Atlanticare Physician Group CurrentSince Sep 11, 2018 Accepting new patients
University Urogynecology Association, PC Past Accepting new patients
Cooper University Trauma Physicians, PC PastSince Aug 1, 2015 Accepting new patients
Cooper GYN Oncology Association, PC Past Accepting new patients

Locations

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

1900 Burlington Mount Holly Rd
Ste 1C
Burlington, NJ 08016
Phone (609) 835-5570

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

1 Cooper Plz
#L
Camden, NJ 08103
Phone (856) 342-2065

1 Cooper Plz
Fl 6
Camden, NJ 08103
Phone (856) 342-2065

1 Cooper Plz
Ste 222
Camden, NJ 08103
Phone (856) 342-3150

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

10 Forrestal Rd S
Ste 208
Princeton, NJ 08540
Phone (609) 921-2449

4 Plaza Dr
Ste 403
Sewell, NJ 08080
Phone (856) 270-4020

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

2401 E Evesham Rd
Ste A
Voorhees, NJ 08043
Phone (800) 355-0913

2401 E Evesham Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 489-5700

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

Interoperability endpoints

  • Direct secure messaging: amodena40882@direct.cooperhealth.edu

Organizations & group practices 12

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1346297298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 HILLSIDE DR",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080033504",
            "telephone_number": "856-429-3149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CARNIE BLVD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431548",
            "telephone_number": "856-325-3328",
            "fax_number": "856-325-3276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2401 E Evesham Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439590",
            "country_code": "US",
            "telephone_number": "856-489-5700",
            "fax_number": "856-489-5700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MODENA",
        "first_name": "ALISA",
        "middle_name": "BENSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "25MA08055000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "BENSON",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.