Individual provider Active NPI

Anita Mehrotra, M.D.

  • Nephrology Physician
  • Camden, NJ
National Provider Identifier
1407065386
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
25MA10198200 Issued in NJ
Practice address
1601 Haddon Ave # C
Camden, NJ 08103-3109
Phone
(856) 757-3840
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 25MA10198200 NJ Primary
Nephrology Physician 207RN0300X 243361 NY

Addresses

Primary practice location

1601 Haddon Ave # C
Camden, NJ 08103-3109

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

1 Gustave L Levy Pl
New York, NY 10029-6500
Phone (212) 241-8004

Other practice location 2

1105 Laurel Oak Rd Ste 165C
Voorhees, NJ 08043-4312
Phone (856) 247-2645

Other practice location 3

63 Kresson Rd Ste 104B
Cherry Hill, NJ 08034-3200
Phone (856) 796-9370

Other identifiers 1

IdentifierTypeStateIssuer
0588075MedicaidNJ

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address amehrotra167385@directvirtua.org
Direct Messaging Address amehrotra167385@directvirtua.org
Direct Messaging Address amehrotra167385@directvirtua.org

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
I20171127002812 NJ Practitioner - NephrologyPractitioner - Internal Medicine 3577696590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1105 Laurel Oak Rd
Voorhees, NJ 08043-4312

1600 Haddon Ave
Camden, NJ 08103-3101

1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3840

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Robert Wood Johnson University Hospital Hospital, New Brunswick, NJ, CCN 310038

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10198200NJMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients

Locations

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

1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500

1601 Haddon Ave
#C
Camden, NJ 08103

1601 Haddon Ave
Camden, NJ 08103
Phone (856) 757-3700

63 Kresson Rd
Ste 104B
Cherry Hill, NJ 08034
Phone (856) 796-9370

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

1105 Laurel Oak Rd
Ste 165C
Voorhees, NJ 08043
Phone (856) 247-2645

Interoperability endpoints

  • Direct secure messaging: amehrotra167385@directvirtua.org

Organizations & group practices 2

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 4

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1407065386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 HADDON AVE # C",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033109",
            "telephone_number": "856-757-3840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296500",
            "country_code": "US",
            "telephone_number": "212-241-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1105 Laurel Oak Rd Ste 165C",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434312",
            "country_code": "US",
            "telephone_number": "856-247-2645",
            "fax_number": "856-757-3519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Kresson Rd Ste 104B",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080343200",
            "country_code": "US",
            "telephone_number": "856-796-9370",
            "fax_number": "856-547-0362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEHROTRA",
        "first_name": "ANITA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA10198200",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "243361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0588075",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amehrotra167385@directvirtua.org",
            "affiliation": "N",
            "address_1": "1601 Haddon Ave # C",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033109",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amehrotra167385@directvirtua.org",
            "affiliation": "N",
            "address_1": "1105 Laurel Oak Rd Ste 165C",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amehrotra167385@directvirtua.org",
            "affiliation": "N",
            "address_1": "63 Kresson Rd Ste 104B",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.