Individual provider Active NPI

Cassandra Ullrich

  • Pediatrics Physician
  • Medford, NJ
National Provider Identifier
1609300185
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB10818200 Issued in NJ
Practice address
133 Jackson Rd Ste a
Medford, NJ 08055-9234
Phone
(609) 654-9961
NPI assigned
Apr 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MB10818200 NJ Primary

Addresses

Primary practice location

133 Jackson Rd Ste a
Medford, NJ 08055-9234

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Other practice location 1

741 S 2nd Ave Ste B
Galloway, NJ 08205-9542
Phone (609) 748-8500

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
I20200512000055 NJ Practitioner - Pediatric Medicine 3678842838 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Jun 1, 2020 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Jun 1, 2020 Accepting new patients

Locations

741 S 2nd Ave
Ste B
Galloway, NJ 08205
Phone (609) 745-8500

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

Interoperability endpoints

  • Direct secure messaging: cassandra.ullrich@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1609300185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 JACKSON RD STE A",
            "city": "MEDFORD",
            "state": "NJ",
            "postal_code": "080559234",
            "telephone_number": "609-654-9961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "741 S 2nd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082059542",
            "country_code": "US",
            "telephone_number": "609-748-8500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ULLRICH",
        "first_name": "CASSANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-12",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB10818200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NJ

Sources for this page

Verify at the official NPI Registry.