Individual provider Active NPI

Mohammad Abdeljawad, MD

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1487917365
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09430600 Issued in NJ
Practice address
100 Bowman Drive
Voorhees, NJ 08043
Phone
(856) 247-2594
Fax
(856) 247-2597
NPI assigned
Jun 16, 2012
Last updated
Jul 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09430600 NJ Primary
Hospitalist Physician 208M00000X 25MA09430600 NJ

Addresses

Primary practice location

100 Bowman Drive
Voorhees, NJ 08043

Mailing address

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

Other practice location 1

90 Brick Rd Fl 3
Marlton, NJ 08053-2177
Phone (856) 355-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mabdeljawad17821@directvirtua.org
Direct Messaging Address mabdeljawad17821@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
I20140916001287 NJ Practitioner - Family PracticePractitioner - Hospitalist 1052530573 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

1001 Laurel Oak Rd
Voorhees, NJ 08043-3512

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

200 Route 73
Suite 2B
Voorhees, NJ 08043-9611
Phone (856) 335-0400

301 N Church St
Suite 101
Moorestown, NJ 08057-2498
Phone (856) 234-2101

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2018 Accepting new patients
Optum Medical Care of New Jersey PC CurrentSince Apr 1, 2018 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince May 9, 2014 Accepting new patients
Advocare, LLC Family Medicine CurrentSince Mar 1, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince May 9, 2014 Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2015 Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Mid Columbia Eyecare Center, Inc, PS Past Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

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

935 River Rd
Ste 301
Edgewater, NJ 07020
Phone (201) 471-7012

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645

Interoperability endpoints

  • Direct secure messaging: mabdeljawad17821@directvirtua.org
  • Direct secure messaging: mohannad.abdejawadmd.p1@direct.cfg.nextgenshare.com

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1487917365",
    "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": "100 BOWMAN DRIVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-247-2594",
            "fax_number": "856-247-2597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "90 Brick Rd Fl 3",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080532177",
            "country_code": "US",
            "telephone_number": "856-355-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABDELJAWAD",
        "first_name": "MOHAMMAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-16",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09430600",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA09430600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mabdeljawad17821@directvirtua.org",
            "affiliation": "N",
            "address_1": "90 Brick Rd Fl 3",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080532177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mabdeljawad17821@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Drive",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.