Individual provider Active NPI

Allegra Patricia Ondrejka, PA

  • Physician Assistant
  • Turnersville, NJ
National Provider Identifier
1700437928
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA062120 Issued in PA
Practice address
41 Nancy LN
Turnersville, NJ 08012-2742
Phone
(856) 904-0245
NPI assigned
Sep 28, 2019
Last updated
Jul 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

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 PA63325 CA
Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistant 363A00000X MA062120 PA Primary

Addresses

Primary practice location

41 Nancy LN
Turnersville, NJ 08012-2742

Mailing address

475 Hurffville Crosskeys Rd Ste B
Sewell, NJ 08080-2320
Phone (856) 904-0245

Other practice location 1

700 Spruce Street
Pine Basement West
Philadelphia, PA 19106-6130
Phone (215) 829-3264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA, CA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20201204001360 NJ Practitioner - Physician Assistant 1658782107 Reassigns benefits to 1 organization
I20220628003543 PA Practitioner - Physician Assistant 1658782107 Reassigns benefits to 2 organizations
I20240529001079 CA Practitioner - Physician Assistant 1658782107 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA63325CAMDPhysician Assistant
MA062120PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - California CurrentSince May 1, 2025 Accepting new patients
Cep America-California CurrentSince May 1, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 5, 2022 Accepting new patients
University of Penn-Medical Group CurrentSince Jul 5, 2022 Accepting new patients
The Radiology Group of New Jersey, LLC PastSince Nov 9, 2021 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

15031 Rinaldi St
San Fernando, CA 91345
Phone (818) 365-8051

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 10

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": "1569628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1700437928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 HURFFVILLE CROSSKEYS RD STE B",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080802320",
            "telephone_number": "856-904-0245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 NANCY LN",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122742",
            "telephone_number": "856-904-0245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Spruce Street",
            "address_2": "Pine Basement West",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191066130",
            "country_code": "US",
            "telephone_number": "215-829-3264",
            "fax_number": "215-829-8044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ONDREJKA",
        "first_name": "ALLEGRA",
        "middle_name": "PATRICIA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-28",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63325",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA062120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.