Individual provider Active NPI

Danielle Rota, AGACNP

  • Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1700610078
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ15112800 Issued in NJ
Practice address
123 Egg Harbor Rd Ste 403
Sewell, NJ 08080-9407
Phone
(856) 227-4606
NPI assigned
Aug 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ15112800 NJ Primary

Addresses

Primary practice location

123 Egg Harbor Rd Ste 403
Sewell, NJ 08080-9407

Mailing address

202 David Dr
Mullica Hill, NJ 08062-1506
Phone (609) 381-4176

Other practice location 1

4 Burton Ln Ste 100
Mullica Hill, NJ 08062-9441
Phone (856) 241-3838

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
I20241030004293 NJ Practitioner - Nurse Practitioner 6608309596 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians
Advanced Cardiology of South JerseyGroup PAC ID 2466461678, 4 clinicians

Practice addresses (Care Compare)

123 Egg Harbor Rd
403 Advocare Treiman Family Medicine
Sewell, NJ 08080-9407
Phone (856) 227-4606

4 Burton LN
Suite 100
Mullica Hill, NJ 08062-9441
Phone (856) 241-3838

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15112800NJMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advocare, LLC CurrentSince Nov 15, 2024 Accepting new patients
Advocare , LLC CurrentSince Nov 15, 2024 Accepting new patients
Advanced Cardiology of South Jersey CurrentSince Nov 15, 2024 Accepting new patients
Custom Sleep Therapies PC PastSince Nov 15, 2024 Accepting new patients
Advocare, LLC Past Accepting new patients

Locations

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

4 Burton Ln
Ste 100
Mullica Hill, NJ 08062
Phone (856) 241-3838

123 Egg Harbor Rd
Ste 403
Sewell, NJ 08080
Phone (856) 227-4606

Interoperability endpoints

  • Direct secure messaging: danielle.rota@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 5

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": "1724889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1700610078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 DAVID DR",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621506",
            "telephone_number": "609-381-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 EGG HARBOR RD STE 403",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080809407",
            "telephone_number": "856-227-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Burton Ln Ste 100",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080629441",
            "country_code": "US",
            "telephone_number": "856-241-3838",
            "fax_number": "856-241-3849",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROTA",
        "first_name": "DANIELLE",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ15112800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.