Individual provider Active NPI

Michelle Knight, MD

  • Obstetrics & Gynecology Physician
  • Willow Grove, PA
National Provider Identifier
1760698864
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10284800 Issued in NJ
Practice address
2300 Computer Rd
Suite E 25
Willow Grove, PA 19090-1752
Phone
(215) 366-1160
Fax
(215) 366-1141
NPI assigned
May 15, 2007
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MD439392 PA
Obstetrics & Gynecology Physician 207V00000X 25MA10284800 NJ Primary

Addresses

Primary practice location

2300 Computer Rd
Suite E 25
Willow Grove, PA 19090-1752

Mailing address

2300 Computer Rd
Suite E 25
Willow Grove, PA 19090-1752
Phone (215) 366-1160

Other practice location 1

401 Young Ave Ste 325
Moorestown, NJ 08057-4800
Phone (856) 291-8865

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mknight50340@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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180821000046 NJ Practitioner - Obstetrics/Gynecology 3173648706 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA10284800NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2018 Accepting new patients

Locations

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

401 Young Ave
Ste 325
Moorestown, NJ 08057
Phone (800) 346-7834

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, 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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1760698864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE E 25",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-366-1160",
            "fax_number": "215-366-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 COMPUTER RD",
            "address_2": "SUITE E 25",
            "city": "WILLOW GROVE",
            "state": "PA",
            "postal_code": "190901752",
            "telephone_number": "215-366-1160",
            "fax_number": "215-366-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Young Ave Ste 325",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080574800",
            "country_code": "US",
            "telephone_number": "856-291-8865",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNIGHT",
        "first_name": "MICHELLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-15",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD439392",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10284800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mknight50340@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 325",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080574800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Willow Grove, PA

Sources for this page

Verify at the official NPI Registry.