Individual provider Active NPI

Danielle Bernadette Thorn, PA-C

  • Surgical Physician Assistant
  • Burlington, NJ
National Provider Identifier
1588720098
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00167500 Issued in NJ
Practice address
2103 Mount Holly Rd
Burlington, NJ 08016-4157
Phone
(609) 747-9200
Fax
(609) 747-1408
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00167500 NJ
Medical Physician Assistant 363AM0700X MA051494 PA
Surgical Physician Assistant 363AS0400X 25MP00167500 NJ Primary

Addresses

Primary practice location

2103 Mount Holly Rd
Burlington, NJ 08016-4157

Mailing address

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

Other names 1

  • Danielle Bernadette Ressler Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dthorn110894@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101014000812 NJ Practitioner - Physician Assistant 9739180506 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Philadelphia College 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)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

131 Route 70
Suite 100
Medford, NJ 08055-9501
Phone (856) 673-3960

175 Madison Ave
Mount Holly, NJ 08060-2038

2103 Mount Holly Rd
Burlington, NJ 08016-4157
Phone (609) 747-9200

243 Route 130
Suite 100
Bordentown, NJ 08505-2137
Phone (609) 267-9400

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

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA051494PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Physician Assistant CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

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

2103 Route 541
Burlington Township, NJ 08016
Phone (609) 386-1460

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

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.

Hospital & facility affiliations 4

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1588720098",
    "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": "2103 MOUNT HOLLY RD",
            "city": "BURLINGTON",
            "state": "NJ",
            "postal_code": "080164157",
            "telephone_number": "609-747-9200",
            "fax_number": "609-747-1408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORN",
        "first_name": "DANIELLE",
        "middle_name": "BERNADETTE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00167500",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA051494",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00167500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dthorn110894@directvirtua.org",
            "affiliation": "N",
            "address_1": "2103 Mount Holly Rd",
            "city": "Burlington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080164157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "RESSLER",
            "middle_name": "BERNADETTE",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Burlington, NJ

Sources for this page

Verify at the official NPI Registry.