Individual provider Active NPI

Rita Theresa Harty, MS PA-C

  • Medical Physician Assistant
  • Delran, NJ
National Provider Identifier
1407134000
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00204300 Issued in NJ
Practice address
4000 Route 130
Delran, NJ 08075-2414
Phone
(856) 705-0685
Fax
(727) 210-4600
NPI assigned
Jul 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00204300 NJ Primary

Addresses

Primary practice location

4000 Route 130
Delran, NJ 08075-2414

Mailing address

5000 Cox Rd
Glen Allen, VA 23060-9263
Phone (804) 822-4355

Other identifiers 2

IdentifierTypeStateIssuer
25MP00204300OtherNJNJ LICENSE NUMBER
PA 9109246OtherFLPA LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address NJExchange@patientfirstclinics.com Health Information Exchange (HIE)

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
I20220215001229 NJ Practitioner - Physician Assistant 5597749010 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2171 Route 70 W
Cherry Hill, NJ 08002-2733
Phone (856) 705-0685

4000 Route 130 N
BLDG C
Delran, NJ 08075-2414
Phone (856) 705-0685

606 Cross Keys Rd
Sicklerville, NJ 08081-9513
Phone (856) 237-1016

630 Mantua Pike
Woodbury, NJ 08096-3233
Phone (856) 812-2220

641 US Hwy 130
Hamilton, NJ 08691-2101
Phone (609) 568-9383

705 Haddonfield Berlin Rd
Voorhees, NJ 08043-3714
Phone (856) 679-0537

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Patients First Maryland Physicians Group P C CurrentSince Jan 14, 2022 Accepting new patients
Patient First New Jersey Physicians Group LLC CurrentSince Jan 1, 2024 Accepting new patients
Patient First Maryland Physician'S Group PC CurrentSince Jan 14, 2022 Accepting new patients
All Smiles Sleep Solutions LLC PastSince Aug 1, 2021 Accepting new patients

Locations

4000 Route 130
Delran, NJ 08075
Phone (856) 544-9051

630 Mantua Pike
Woodbury, NJ 08096
Phone (856) 812-2220

5000 Cox Rd
Glen Allen, VA 23060
Phone (804) 822-4355

Interoperability endpoints

  • Direct secure messaging: njexchange@patientfirstclinics.com

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1407134000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 COX RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230609263",
            "telephone_number": "804-822-4355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080752414",
            "telephone_number": "856-705-0685",
            "fax_number": "727-210-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTY",
        "first_name": "RITA",
        "middle_name": "THERESA",
        "credential": "MS PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-30",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00204300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ LICENSE NUMBER",
            "identifier": "25MP00204300",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA LICENSE",
            "identifier": "PA 9109246",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "NJExchange@patientfirstclinics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4000 Route 130",
            "city": "Delran",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080752414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Delran, NJ

Sources for this page

Verify at the official NPI Registry.