Individual provider Active NPI

Rebecca Chrisitane Moore, D.O.

  • Family Medicine Physician
  • Hammonton, NJ
National Provider Identifier
1558391490
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB07787600 Issued in NJ
Practice address
854 S White Horse Pike Unit 4
Hammonton, NJ 08037-2033
Phone
(609) 704-0185
Fax
(609) 704-0195
NPI assigned
Jul 4, 2006
Last updated
Jun 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB07787600 NJ Primary

Addresses

Primary practice location

854 S White Horse Pike Unit 4
Hammonton, NJ 08037-2033

Mailing address

854 S White Horse Pike Unit 4
Hammonton, NJ 08037-2033
Phone (609) 704-0185

Other practice location 1

42 E Laurel Rd Ste 2100-A
Stratford, NJ 08084-1354
Phone (856) 566-7020

Other practice location 2

1474 Tanyard Road
Suite D100
Sewell, NJ 08080
Phone (856) 566-6265

Other practice location 3

42 E Laurel Rd Ste 2500
Stratford, NJ 08084-1354
Phone (856) 566-7040

Other practice location 4

100 Century Pkwy Ste 140
Mount Laurel, NJ 08054-1149
Phone (856) 380-2400

Other practice location 5

405 Hurffville Crosskeys Rd Ste 101
Sewell, NJ 08080-9340
Phone (856) 218-0300

Other identifiers 1

IdentifierTypeStateIssuer
0082791MedicaidNJ

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address rmoore249016@directvirtua.org
Direct Messaging Address rmoore249016@directvirtua.org
Direct Messaging Address rmoore249016@directvirtua.org
Direct Messaging Address rmoore249016@directvirtua.org
Direct Messaging Address rmoore249016@directvirtua.org
Direct Messaging Address rmoore249016@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
I20051017000755 NJ Practitioner - Family PracticePractitioner - Osteopathic Manipulative Medicine 8426074782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Osteopathic Manipulative Medicine
Education
Rowan University School of Osteopathic Medicine, 2003
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)

128 Route 70
Medford, NJ 08055-2371

239 Hurffville Crosskeys Rd
Sewell, NJ 08080-4002

305 Route 70 E
Cherry Hill, NJ 08034-2408

315 Route 70 E
Vitua Express Urgent Care Cherry Hill
Cherry Hill, NJ 08034-2408
Phone (856) 375-6240

3242 Route 206
Bordentown, NJ 08505-4517

401 Young Ave
Moorestown, NJ 08057-3130

42 E Laurel Rd
Stratford, NJ 08084-1354

602 W Cuthbert Blvd
Unit 26
Haddon Township, NJ 08108-3642
Phone (856) 946-5180

854 S White Horse Pike
Unit 4
Hammonton, NJ 08037-2033
Phone (609) 704-0185

Hospital & facility affiliations

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
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Family Medicine CurrentSince Jun 5, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 5, 2023 Accepting new patients
Rowansom Newjersey Institute for Successful Aging-Geriatric Psychiatry Past Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Rowansom Nmi Osteopathic Manipulative Medicine Family Medicine Past Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Hera Inpatient Services Past Accepting new patients

Locations

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

854 S White Horse Pike
Unit 4
Hammonton, NJ 08037
Phone (609) 704-0185

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

100 Century Pkwy
Ste 140
Mount Laurel, NJ 08054
Phone (856) 380-2400

405 Hurffville Crosskeys Rd
Ste 203
Sewell, NJ 08080
Phone (856) 582-0033

405 Hurffville Crosskeys Rd
Ste 101
Sewell, NJ 08080
Phone (856) 218-0300

1474 Tanyard Rd
Ste D100
Sewell, NJ 08080
Phone (856) 566-6265

42 E Laurel Rd
Ste 2500
Stratford, NJ 08084
Phone (856) 566-7040

42 E Laurel Rd
Ste 2100A
Stratford, NJ 08084
Phone (856) 566-6477

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

Interoperability endpoints

  • Direct secure messaging: rmoore249016@directvirtua.org

Organizations & group practices 8

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 5

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1558391490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "854 S WHITE HORSE PIKE UNIT 4",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372033",
            "telephone_number": "609-704-0185",
            "fax_number": "609-704-0195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "854 S WHITE HORSE PIKE UNIT 4",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080372033",
            "telephone_number": "609-704-0185",
            "fax_number": "609-704-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 E Laurel Rd Ste 2100-A",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7020",
            "fax_number": "856-566-6188",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D100",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "08080",
            "country_code": "US",
            "telephone_number": "856-566-6265",
            "fax_number": "856-566-6185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 E Laurel Rd Ste 2500",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7040",
            "fax_number": "856-566-6826",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Century Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541149",
            "country_code": "US",
            "telephone_number": "856-380-2400",
            "fax_number": "856-234-7870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809340",
            "country_code": "US",
            "telephone_number": "856-218-0300",
            "fax_number": "856-589-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOORE",
        "first_name": "REBECCA",
        "middle_name": "CHRISITANE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB07787600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0082791",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore249016@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 2500",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore249016@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore249016@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Century Pkwy Ste 140",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore249016@directvirtua.org",
            "affiliation": "N",
            "address_1": "854 S White Horse Pike Unit 4",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080372033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore249016@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 2100-A",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmoore249016@directvirtua.org",
            "affiliation": "N",
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.