Active NPI
Foda Family Practice LLC
- Family Medicine Physician
- Cherry Hill, NJ
National Provider Identifier
1508073016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA07595300
- Legal business name
- FODA FAMILY PRACTICE LLC
- Practice address
- 1939 Marlton Pike E Ste 250
Cherry Hill, NJ 08003-4507 - Phone
- (856) 985-9106
- Fax
- (609) 228-7604
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Randa B Foda, MD
- Title
- Physcian
- Phone
- (856) 985-9100
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA07595300 | NJ | Primary |
Addresses
Primary practice location
1939 Marlton Pike E Ste 250
Cherry Hill, NJ 08003-4507
Mailing address
1939 Marlton Pike E Ste 250
Cherry Hill, NJ 08003-4507
Phone (856) 985-9106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0023442 | Medicaid | NJ |
National Provider Directory
National Provider DirectoryLocations
1939 Route 70 E
Ste 250
Cherry Hill, NJ 08003
Phone (609) 429-4433
2000 Academy Dr
Ste 600
Mount Laurel, NJ 08054
Phone (856) 985-9100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1508073016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 MARLTON PIKE E STE 250",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034507",
"telephone_number": "856-985-9106",
"fax_number": "609-228-7604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 MARLTON PIKE E STE 250",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080034507",
"telephone_number": "856-985-9106",
"fax_number": "609-228-7604"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FODA FAMILY PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "FODA",
"authorized_official_first_name": "RANDA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PHYSCIAN",
"authorized_official_telephone_number": "856-985-9100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA07595300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0023442",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.