Individual provider Active NPI

Angelica Harrop, PA-C

  • Physician Assistant
  • Blackwood, NJ
National Provider Identifier
1376051474
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00510100 Issued in NJ
Practice address
131 Brewer Ave
Blackwood, NJ 08012-4807
Phone
(856) 776-1160
NPI assigned
Jan 11, 2018
Last updated
Feb 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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 25MP00510100 NJ Primary

Addresses

Primary practice location

131 Brewer Ave
Blackwood, NJ 08012-4807

Mailing address

151 Fries Mill Rd Ste 301
Turnersville, NJ 08012-2016
Phone (856) 513-4124

Other practice location 1

874 American Pacific Dr
Henderson, NV 89014-8800
Phone (702) 777-8687

Other practice location 2

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 513-4124

Other names 1

  • Angelica Burns 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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190726001814 NJ Practitioner - Physician Assistant 0446586523 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1 Regulus Dr
A
Turnersville, NJ 08012-2427
Phone (856) 256-7513

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 513-4124

2211 Chapel Ave W
301 Kha General Surgery
Cherry Hill, NJ 08002-2048
Phone (856) 665-2017

400 Medical Ctr Dr
Sewell, NJ 08080-2362
Phone (844) 542-2273

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice, P.C. CurrentSince Jul 15, 2019 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jul 15, 2019 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients
Kennedy Medical Group Practice, P.C. PastSince Jun 15, 2021 Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

18 E Laurel Rd
Stratford, NJ 08084
Phone (856) 346-6000

1 Regulus Dr
#A
Turnersville, NJ 08012
Phone (609) 589-7770

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

333 Laurel Oak Rd
Voorhees, NJ 08043
Phone (856) 344-7360

400 Laurel Oak Rd
Ste 105
Voorhees, NJ 08043
Phone (609) 304-0991

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1515628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1376051474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 301",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-513-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 BREWER AVE",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124807",
            "telephone_number": "856-776-1160"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "874 American Pacific Dr",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890148800",
            "country_code": "US",
            "telephone_number": "702-777-8687",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18 E Laurel Rd",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841327",
            "country_code": "US",
            "telephone_number": "856-513-4124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARROP",
        "first_name": "ANGELICA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-11",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00510100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELICA",
            "last_name": "BURNS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blackwood, NJ

Sources for this page

Verify at the official NPI Registry.