Individual provider Active NPI

Abu Sannoh

  • Clinical Social Worker
  • Voorhees, NJ
National Provider Identifier
1710487368
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05325000 Issued in NJ
Practice address
1605 E Evesham Rd Ste 100B
Voorhees, NJ 08043-1437
Phone
(856) 355-7118
Fax
(856) 355-7116
NPI assigned
Feb 20, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 44SC05325000 NJ Primary

Addresses

Primary practice location

1605 E Evesham Rd Ste 100B
Voorhees, NJ 08043-1437

Mailing address

623 Forest Edge
Deptford, NJ 08096-2947
Phone (856) 537-4684

Other practice location 1

1605 E Evesham Rd Ste 200A
Voorhees, NJ 08043-1437
Phone (856) 355-7118

Other practice location 2

239 Hurffville Crosskeys Rd Ste 460C
Sewell, NJ 08080-4007
Phone (856) 341-8181

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address asannoh14377@directvirtua.org
Direct Messaging Address asannoh14377@directvirtua.org
CONNECT URL asannoh14377@directvirtua.org

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180719000238 NJ Practitioner - Clinical Social Worker 6709133903 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Multi-Specialty CurrentSince Jun 10, 2018 Accepting new patients
Virtua Medical Group, PA Multi-Specialty Current Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

239 Hurffville Crosskeys Rd
Ste 239
Sewell, NJ 08080

239 Hurffville Crosskeys Rd
Ste 460C
Sewell, NJ 08080
Phone (856) 341-8181

239 Hurffville Crosskeys Rd
Ste 350B
Sewell, NJ 08080

1605 E Evesham Rd
Ste 200A
Voorhees, NJ 08043

1605 E Evesham Rd
Ste 100B
Voorhees, NJ 08043

Interoperability endpoints

  • Direct secure messaging: asannoh14377@directvirtua.org

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1710487368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 FOREST EDGE",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080962947",
            "telephone_number": "856-537-4684",
            "fax_number": "856-762-2876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E EVESHAM RD STE 100B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431437",
            "telephone_number": "856-355-7118",
            "fax_number": "856-355-7116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1605 E Evesham Rd Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431437",
            "country_code": "US",
            "telephone_number": "856-355-7118",
            "fax_number": "856-325-5222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 460C",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804007",
            "country_code": "US",
            "telephone_number": "856-341-8181",
            "fax_number": "856-341-8180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANNOH",
        "first_name": "ABU",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05325000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asannoh14377@directvirtua.org",
            "affiliation": "N",
            "address_1": "1605 E Evesham Rd Ste 100B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431437",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "asannoh14377@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 350B",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "asannoh14377@directvirtua.org",
            "affiliation": "N",
            "address_1": "1605 E Evesham Rd Ste 200A",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.