Individual provider Active NPI

Kierstin N Zetterberg, P.A.

  • Physician Assistant
  • Glassboro, NJ
National Provider Identifier
1407856297
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00984300 Issued in NJ
Practice address
200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone
(856) 582-1500
Fax
(856) 221-4246
NPI assigned
Jul 22, 2005
Last updated
Mar 17, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 25MP00984300 NJ Primary
Physician Assistant 363A00000X MA051611 PA

Addresses

Primary practice location

200 Rowan Blvd
Glassboro, NJ 08028-2260

Mailing address

134 Bridgeton Pike
Mullica Hill, NJ 08062-2616
Phone (856) 507-2783

Other practice location 1

3722 E Landis Ave Ste I&j
Vineland, NJ 08361-7926
Phone (856) 213-5900

Other practice location 2

372 Egg Harbor Rd Ste 4A
Sewell, NJ 08080-1988
Phone (856) 218-5900

Other practice location 3

660 Woodbury Glassboro Rd Ste 26
Sewell, NJ 08080-3738
Phone (856) 415-6188

Other practice location 4

40 Village Green Dr
Swedesboro, NJ 08085-3252
Phone (856) 542-1300

Other practice location 5

1238 Chews Landing Rd
Clementon, NJ 08021-2808
Phone (856) 545-9500

Other practice location 6

1297 W Landis Ave
Vineland, NJ 08360-3423
Phone (856) 507-8548

Other practice location 7

201 Tomlin Station Rd Ste B
Mullica Hill, NJ 08062-1612
Phone (856) 241-2500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040618000408 PA Practitioner - Physician Assistant 0042295743 Reassigns benefits to 2 organizations
I20260505003039 NJ Practitioner - Physician Assistant 0042295743 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inspira Health Network Urgent Care PCGroup PAC ID 2769657659, 43 clinicians
Inspira SJ Urgent Care PCGroup PAC ID 0749566958, 29 clinicians

Practice addresses (Care Compare)

200 Rowan Blvd
Glassboro, NJ 08028-2260
Phone (856) 582-1500

3722 E Landis Ave
Suite Iandj
Vineland, NJ 08361-7926
Phone (856) 213-5900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MP00984300NJMDPhysician Assistant
MA051611PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Cep America LLC CurrentSince Oct 22, 2025 Accepting new patients
Inspira SJ Urgent Care PC CurrentSince Apr 20, 2026 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Jan 21, 2024 Accepting new patients
Cep America LLC CurrentSince Oct 22, 2025 Accepting new patients
Cep America LLC Current Accepting new patients
Inspira Health Network Urgent Care, P.C. PastSince Jan 25, 2012 Accepting new patients
Inspira Health Network Medical Group, P.C. PastSince Jul 8, 2018 Accepting new patients
Regional Diagnostic Imaging, LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

3722 E Landis Ave
Ste Ij
Vineland, NJ 08361
Phone (856) 213-5900

1500 Lansdowne Ave
Darby, PA 19023
Phone (610) 237-4561

1503 Lansdowne Ave
Ste 3001
Darby, PA 19023
Phone (610) 586-4100

1503 Lansdowne Ave
Ste 3003
Darby, PA 19023
Phone (610) 586-4100

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2601 Holme Ave
Philadelphia, PA 19152
Phone (215) 335-6000

1015 W Baltimore Pike
West Grove, PA 19390
Phone (610) 869-1000

Interoperability endpoints

  • Direct secure messaging: kzetterberg2020129@direct.trinity-health.org

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1407856297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BRIDGETON PIKE",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080622616",
            "telephone_number": "856-507-2783",
            "fax_number": "856-221-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 ROWAN BLVD",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080282260",
            "telephone_number": "856-582-1500",
            "fax_number": "856-221-4246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3722 E Landis Ave Ste I&j",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083617926",
            "country_code": "US",
            "telephone_number": "856-213-5900",
            "fax_number": "856-213-5905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "372 Egg Harbor Rd Ste 4A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080801988",
            "country_code": "US",
            "telephone_number": "856-218-5900",
            "fax_number": "856-497-5207",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "660 Woodbury Glassboro Rd Ste 26",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080803738",
            "country_code": "US",
            "telephone_number": "856-415-6188",
            "fax_number": "856-497-5150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 Village Green Dr",
            "address_purpose": "LOCATION",
            "city": "Swedesboro",
            "state": "NJ",
            "postal_code": "080853252",
            "country_code": "US",
            "telephone_number": "856-542-1300",
            "fax_number": "856-497-5200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1238 Chews Landing Rd",
            "address_purpose": "LOCATION",
            "city": "Clementon",
            "state": "NJ",
            "postal_code": "080212808",
            "country_code": "US",
            "telephone_number": "856-545-9500",
            "fax_number": "856-221-4288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1297 W Landis Ave",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "083603423",
            "country_code": "US",
            "telephone_number": "856-507-8548",
            "fax_number": "856-507-2720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Tomlin Station Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080621612",
            "country_code": "US",
            "telephone_number": "856-241-2500",
            "fax_number": "856-497-5165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZETTERBERG",
        "first_name": "KIERSTIN",
        "middle_name": "N",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00984300",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051611",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glassboro, NJ

Sources for this page

Verify at the official NPI Registry.