Active NPI
Anita Mehrotra, M.D.
- Nephrology Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 25MA10198200
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0588075 | Medicaid | NJ |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- 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
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
- West Jersey Hospital
- Virtua Mount Holly Hospital
- Robert Wood Johnson University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10198200 | NJ | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | 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
- 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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Brunswick, NJ
- NPI 1346243375
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.