Individual provider Active NPI

Sunita Jani

  • Physician Assistant
  • Galloway, NJ
National Provider Identifier
1619480365
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00538200 Issued in NJ
Practice address
108 W Jimmie Leeds Rd
Galloway, NJ 08205-9410
Phone
(609) 652-6872
NPI assigned
Nov 15, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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 MA065800 PA
Physician Assistant 363A00000X
Physician Assistant 363A00000X 25MP00538200 NJ Primary

Addresses

Primary practice location

108 W Jimmie Leeds Rd
Galloway, NJ 08205-9410

Mailing address

342 Old Fort Rd
King of Prussia, PA 19406-2245

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220516000581 NJ Practitioner - Physician Assistant 3577940477
I20241213003211 PA Practitioner - Physician Assistant 3577940477 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA065800PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Nov 16, 2024 Accepting new patients
Advocare, LLC CurrentSince Nov 16, 2024 Accepting new patients
Advocare , LLC Past Accepting new patients

Locations

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

1991 Sproul Rd
Ste 40A
Broomall, PA 19008
Phone (610) 324-1400

1100 Horizon Cir
Ste 101
Chalfont, PA 18914
Phone (215) 394-0400

1246 W Chester Pike
Ste 303
West Chester, PA 19382
Phone (610) 692-2605

Interoperability endpoints

  • Direct secure messaging: sunita.jani@advocaredoctors.eclinicaldirectplus.com

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, 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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1619480365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "342 OLD FORT RD",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194062245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 W JIMMIE LEEDS RD",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059410",
            "telephone_number": "609-652-6872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANI",
        "first_name": "SUNITA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065800",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00538200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.