Individual provider Active NPI

Rhonda L Sebastian, APN

  • Acute Care Nurse Practitioner
  • Cherry Hill, NJ
National Provider Identifier
1437664430
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00777000 Issued in NJ
Practice address
107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone
(856) 429-1800
NPI assigned
Dec 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00777000 NJ Primary

Addresses

Primary practice location

107 Berlin Rd
Cherry Hill, NJ 08034-3526

Mailing address

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

Other practice location 1

34 Windham Ct
Flemington, NJ 08822-3506
Phone (908) 848-0380

Other practice location 2

750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000

Other practice location 3

1113 Hospital Dr Ste 305
Willingboro, NJ 08046-1130
Phone (856) 375-1288

Other practice location 4

750 Route 73
Building 4, Suite 401
Marlton, NJ 08053
Phone (856) 375-1288

Other identifiers 1

IdentifierTypeStateIssuer
0614882MedicaidNJ

Other names 1

  • Ms. Rhonda Lee Ucol Sebastian Other name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address rsebastian223276@directvirtua.org
Direct Messaging Address rsebastian223276@directvirtua.org
Direct Messaging Address rsebastian223276@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180326000418 NJ Practitioner - Nurse Practitioner 3971865205 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
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)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

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

Hospital & facility affiliations

  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00777000NJMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince May 16, 2022 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC CurrentSince Aug 11, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince May 16, 2022 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Pulmonary and Sleep Associates of South Jersey, LLC Past Accepting new patients

Locations

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

107 Berlin Rd
Cherry Hill, NJ 08034
Phone (856) 429-1800

750 Route 73 S
Ste 401
Marlton, NJ 08053
Phone (856) 332-0767

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

1113 Hospital Dr
Ste 305
Willingboro, NJ 08046
Phone (609) 835-3624

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: rsebastian223276@directvirtua.org
  • Direct secure messaging: rhonda.sebastian@direct.hackensackmeridian.org

Organizations & group practices 7

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 2

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": "1513036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1437664430",
    "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": "107 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343526",
            "telephone_number": "856-429-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "34 Windham Ct",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088223506",
            "country_code": "US",
            "telephone_number": "908-848-0380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Brunswick Ave",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "NJ",
            "postal_code": "086384143",
            "country_code": "US",
            "telephone_number": "609-394-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Hospital Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461130",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "fax_number": "856-375-2325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "750 Route 73",
            "address_2": "Building 4, Suite 401",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "08053",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEBASTIAN",
        "first_name": "RHONDA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-12",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00777000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0614882",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsebastian223276@directvirtua.org",
            "affiliation": "N",
            "address_1": "107 Berlin Rd",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsebastian223276@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 305",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsebastian223276@directvirtua.org",
            "affiliation": "N",
            "address_1": "750 Route 73",
            "address_2": "Building 4, Suite 401",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RHONDA LEE",
            "last_name": "SEBASTIAN",
            "middle_name": "UCOL",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.