Active NPI
Aneeta Sara Sam
- Acute Care Nurse Practitioner
- Marlton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- SP032300
- Practice address
- 90 Brick Rd FL 3
Marlton, NJ 08053-2177 - Phone
- (856) 355-6000
- Fax
- (856) 355-6731
- NPI assigned
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | SP032300 | PA | Primary |
Addresses
Primary practice location
90 Brick Rd FL 3
Marlton, NJ 08053-2177
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-6000
Other practice location 1
175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Phone (609) 914-6000
Other practice location 2
218 Sunset Rd Fl 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359
Other practice location 3
100 Bowman Dr Lowr Level1
Voorhees, NJ 08043-9612
Phone (856) 247-3000
Other practice location 4
1600 Haddon Ave Fl 6
Camden, NJ 08103-3101
Phone (856) 757-3500
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | asam305954@directvirtua.org | ||
| Direct Messaging Address | asam305954@directvirtua.org | ||
| Direct Messaging Address | asam305954@directvirtua.org | ||
| Direct Messaging Address | asam305954@directvirtua.org | ||
| Direct Messaging Address | asam305954@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 757-3500
Hospital & facility affiliations
- West Jersey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP032300 | PA | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1600 Haddon Ave
Fl 6
Camden, NJ 08103
Phone (856) 247-2160
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
90 Brick Rd
Fl 3
Marlton, NJ 08053
Phone (856) 247-2160
303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335
175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000
100 Bowman Dr
Lowr
Voorhees, NJ 08043
Phone (856) 247-3000
218 Sunset Rd
Fl 5
Willingboro, NJ 08046
Phone (609) 444-0359
Interoperability endpoints
- asam305954@directvirtua.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Urgent Care Clinic/Center
- Sewell, NJ
- NPI 1720538564
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1548062797",
"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": "856-355-6000",
"fax_number": "856-355-6731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 BRICK RD FL 3",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080532177",
"telephone_number": "856-355-6000",
"fax_number": "856-355-6731"
}
],
"practiceLocations": [
{
"address_1": "175 Madison Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Mount Holly",
"state": "NJ",
"postal_code": "080602099",
"country_code": "US",
"telephone_number": "609-914-6000",
"fax_number": "609-914-6182",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "218 Sunset Rd Fl 5",
"address_purpose": "LOCATION",
"city": "Willingboro",
"state": "NJ",
"postal_code": "080461110",
"country_code": "US",
"telephone_number": "609-444-0359",
"fax_number": "856-355-6731",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "100 Bowman Dr Lowr Level1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-247-3000",
"fax_number": "856-247-2597",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 Haddon Ave Fl 6",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081033101",
"country_code": "US",
"telephone_number": "856-757-3500",
"fax_number": "856-365-4088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SAM",
"first_name": "ANEETA",
"middle_name": "SARA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-26",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "PA",
"license": "SP032300",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asam305954@directvirtua.org",
"affiliation": "N",
"address_1": "218 Sunset Rd Fl 5",
"city": "Willingboro",
"state": "NJ",
"country_code": "US",
"postal_code": "080461110",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asam305954@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": "asam305954@directvirtua.org",
"affiliation": "N",
"address_1": "1600 Haddon Ave Fl 6",
"city": "Camden",
"state": "NJ",
"country_code": "US",
"postal_code": "081033101",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asam305954@directvirtua.org",
"affiliation": "N",
"address_1": "100 Bowman Dr Lowr Level1",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439612",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "asam305954@directvirtua.org",
"affiliation": "N",
"address_1": "175 Madison Ave Fl 1",
"city": "Mount Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "080602099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marlton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.