Individual provider Active NPI

Sherry Singh-Mohapatra, MD

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1528020062
Registry record updated Oct 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA08605100 Issued in NJ
Practice address
900 Centennial Blvd
Building 2 Suite 201
Voorhees, NJ 08043-4689
Phone
(856) 325-6770
Fax
(856) 673-4300
NPI assigned
Apr 3, 2006
Last updated
Oct 21, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 238172 NY
Internal Medicine Physician 207R00000X MA08605100 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd
Building 2 Suite 201
Voorhees, NJ 08043-4689

Mailing address

900 Centennial Blvd
Building 2 Suite 201
Voorhees, NJ 08043-4689
Phone (856) 325-6770

Other identifiers 1

IdentifierTypeStateIssuer
02718014MedicaidNY

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
I20091221000014 NJ Practitioner - Internal Medicine 6406743608 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA08605100NJMDInternal Medicine Physician
238172NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Nov 3, 2009 Accepting new patients
Medicine Associates at Lich Internal Medicine Past Accepting new patients
Umass Memorial Medical Group, Inc. Past Accepting new patients

Locations

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

900 Centennial Blvd
Ste 202
Voorhees, NJ 08043
Phone (856) 325-6700

Interoperability endpoints

  • Direct secure messaging: ssinghmohapatra11159@direct.cooperhealth.edu

Organizations & group practices 4

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1287619200000",
    "number": "1528020062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD",
            "address_2": "BUILDING 2 SUITE 201",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434689",
            "telephone_number": "856-325-6770",
            "fax_number": "856-673-4300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD",
            "address_2": "BUILDING 2 SUITE 201",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434689",
            "telephone_number": "856-325-6770",
            "fax_number": "856-673-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINGH-MOHAPATRA",
        "first_name": "SHERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-03",
        "last_updated": "2010-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "238172",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA08605100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02718014",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.