Individual provider Active NPI

Alessia Primavera Severino, PA-C

  • Surgical Physician Assistant
  • Voorhees, NJ
National Provider Identifier
1710684592
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
25MP00885100 Issued in NJ
Practice address
2301 E Evesham Rd Ste 110a
Voorhees, NJ 08043-4501
Phone
(856) 325-4200
NPI assigned
Feb 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 9118030 FL
Student in an Organized Health Care Education/Training Program 390200000X
Surgical Physician Assistant 363AS0400X 25MP00885100 NJ Primary

Addresses

Primary practice location

2301 E Evesham Rd Ste 110a
Voorhees, NJ 08043-4501

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

6535 Nemours Pkwy
Orlando, FL 32827-7884
Phone (407) 650-7000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address aseverino294135@directvirtua.org
Direct Messaging Address aseverino294135@directvirtua.org
Direct Messaging Address aseverino294135@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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241230002704 NJ Practitioner - Physician Assistant 5193252385 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9118030FLMDSurgical Physician Assistant
25MP00885100NJMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 1, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2025 Accepting new patients
Virtua Medical Group, PA PastSince Jan 12, 2025 Accepting new patients

Locations

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

1000 Atlantic Ave
Ste 170B
Camden, NJ 08104

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

Interoperability endpoints

  • Direct secure messaging: aseverino128241@direct.nemours.org

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": "1676246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1710684592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 110A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434501",
            "telephone_number": "856-325-4200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6535 Nemours Pkwy",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277884",
            "country_code": "US",
            "telephone_number": "407-650-7000",
            "fax_number": "407-567-5924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEVERINO",
        "first_name": "ALESSIA",
        "middle_name": "PRIMAVERA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-13",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "9118030",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NJ",
            "license": "25MP00885100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aseverino294135@directvirtua.org",
            "affiliation": "N",
            "address_1": "1000 Atlantic Ave Ste 170B",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081041132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aseverino294135@directvirtua.org",
            "affiliation": "N",
            "address_1": "2301 E Evesham Rd Ste 110A",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aseverino294135@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 325B",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.