Individual provider Active NPI

Michael Robert Reutter, PA-C

  • Adult Medicine Physician
  • Berlin, NJ
National Provider Identifier
1639407414
Registry record updated Aug 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
0A000754 Issued in PA
Practice address
175 Cross Keys Rd Ste 300a
Berlin, NJ 08009-9263
Phone
(856) 767-0077
Fax
(856) 767-6102
NPI assigned
Dec 7, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 0A000754 PA Primary

Addresses

Primary practice location

175 Cross Keys Rd Ste 300a
Berlin, NJ 08009-9263

Mailing address

634 Pine Street
Philadelphia, PA 19106-4109
Phone (215) 627-1300

Other practice location 1

634 Pine Street
Philadelphia, PA 19106-4109
Phone (215) 627-1300

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
I20200325000099 NJ Practitioner - Physician Assistant 8820227192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

132 Grove St
Suite a
Haddonfield, NJ 08033-1224
Phone (856) 354-2211

175 Cross Keys Rd
Suite 300a
Berlin, NJ 08009-9263
Phone (856) 872-7055

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0A000754PAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare , LLC CurrentSince Dec 11, 2019 Accepting new patients
Advocare, LLC CurrentSince Dec 11, 2019 Accepting new patients
Advocare, LLC Past Accepting new patients
Amy Orloff, D.O. and Associates, P.C. Adult Medicine Past Accepting new patients

Locations

339 N Route 73
Ste 1
Berlin, NJ 08009
Phone (856) 767-8228

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

7665 Maple Ave
Pennsauken, NJ 08109
Phone (856) 665-9520

Interoperability endpoints

  • Direct secure messaging: michael.reutter@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 4

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": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597190400000",
    "number": "1639407414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "634 PINE STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191064109",
            "telephone_number": "215-627-1300",
            "fax_number": "215-925-2126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 CROSS KEYS RD STE 300A",
            "city": "BERLIN",
            "state": "NJ",
            "postal_code": "080099263",
            "telephone_number": "856-767-0077",
            "fax_number": "856-767-6102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "634 Pine Street",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191064109",
            "country_code": "US",
            "telephone_number": "215-627-1300",
            "fax_number": "215-925-2126",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REUTTER",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-07",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "PA",
            "license": "0A000754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berlin, NJ

Sources for this page

Verify at the official NPI Registry.