Individual provider Active NPI

Lilly Yam

  • Physician Assistant
  • Sewell, NJ
National Provider Identifier
1376378695
Registry record updated Apr 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00892900 Issued in NJ
Practice address
239 Hurffville Crosskeys Rd Ste 355B
Sewell, NJ 08080-4007
Phone
(856) 247-7210
NPI assigned
Sep 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 25MP00892900 NJ Primary

Addresses

Primary practice location

239 Hurffville Crosskeys Rd Ste 355B
Sewell, NJ 08080-4007

Mailing address

155 Marc LN
Huntingdon Valley, PA 19006-3102

Other practice location 1

120 White Horse Pike Ste 103B
Haddon Heights, NJ 08035-1938
Phone (856) 546-3900

Other practice location 2

141 Route 70, Suite C
Renaissance Square
Marlton, NJ 08053
Phone (856) 341-8105

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
I20241210004277 NJ Practitioner - Physician Assistant 2769918085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
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)

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Physician Assistant CurrentSince Jan 6, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 6, 2025 Accepting new patients
Virtua Medical Group, PA PastSince Sep 8, 2024 Accepting new patients

Locations

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

120 White Horse Pike
Ste 103B
Haddon Heights, NJ 08035
Phone (856) 546-3900

120 White Horse Pike
Ste 103C
Haddon Hgts, NJ 08035
Phone (856) 546-3900

141 Route 70 E
Ste C
Marlton, NJ 08053
Phone (856) 341-8105

Organizations & group practices 3

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 1

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": "1725494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775174400000",
    "number": "1376378695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 MARC LN",
            "city": "HUNTINGDON VALLEY",
            "state": "PA",
            "postal_code": "190063102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFFVILLE CROSSKEYS RD STE 355B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804007",
            "telephone_number": "856-247-7210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 White Horse Pike Ste 103B",
            "address_purpose": "LOCATION",
            "city": "Haddon Heights",
            "state": "NJ",
            "postal_code": "080351938",
            "country_code": "US",
            "telephone_number": "856-546-3900",
            "fax_number": "856-546-3908",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "141 Route 70, Suite C",
            "address_2": "Renaissance Square",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-341-8105",
            "fax_number": "856-341-8106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YAM",
        "first_name": "LILLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-05",
        "last_updated": "2026-04-03",
        "certification_date": "2026-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00892900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.