Active NPI
Robert Davis, D.O.
- Family Medicine Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MB0570440
- Practice address
- 1605 E Evesham Rd Ste 100a
Voorhees, NJ 08043-1437 - Phone
- (856) 741-7100
- Fax
- (856) 424-2629
- NPI assigned
- Jan 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MB0570440 | NJ | Primary |
Addresses
Primary practice location
1605 E Evesham Rd Ste 100a
Voorhees, NJ 08043-1437
Mailing address
701 Cooper Rd
Suite 16
Voorhees, NJ 08043-3800
Phone (856) 783-5000
Other practice location 1
94 Brick Rd
Suite 105
Marlton, NJ 08053-2179
Phone (856) 988-0444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5510503 | Medicaid | NJ |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rdavis12771@directvirtua.org | ||
| Direct Messaging Address | rdavis12771@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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Philadelphia College of Osteopathic Medicine, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2309 E Evesham Rd
Voorhees, NJ 08043-1559
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB0570440 | NJ | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Family Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500
701 Cooper Rd
Ste 16
Voorhees, NJ 08043
Phone (856) 429-2224
1605 E Evesham Rd
Ste 100A
Voorhees, NJ 08043
Phone (856) 741-7100
Interoperability endpoints
- rdavis12771@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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
dba Virtua Mount Holly Hospital
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
dba Virtua Home Care at West Jersey
- Home Health Agency
- Marlton, NJ
- NPI 1316943004
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1720068851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 COOPER RD",
"address_2": "SUITE 16",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080433800",
"telephone_number": "856-783-5000",
"fax_number": "856-783-5041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 E EVESHAM RD STE 100A",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431437",
"telephone_number": "856-741-7100",
"fax_number": "856-424-2629"
}
],
"practiceLocations": [
{
"address_1": "94 Brick Rd",
"address_2": "Suite 105",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080532179",
"country_code": "US",
"telephone_number": "856-988-0444",
"fax_number": "856-988-9645",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DAVIS",
"first_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-17",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MB0570440",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5510503",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rdavis12771@directvirtua.org",
"affiliation": "N",
"address_1": "94 Brick Rd",
"address_2": "Suite 105",
"city": "Marlton",
"state": "NJ",
"country_code": "US",
"postal_code": "080532179",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rdavis12771@directvirtua.org",
"affiliation": "N",
"address_1": "1605 E Evesham Rd Ste 100A",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.