Heather Diane Roberts, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

25MP00144400 Issued in NJ

Practice address

200 Bowman Dr Ste 385
Voorhees, NJ 08043-9623

Phone

(856) 840-4534

Fax

(856) 762-2853

NPI assigned

Jul 6, 2006

Sex

Female

Sole proprietor

No

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.

• Affiliated Primary Care Associates II

  • Family Medicine Physician
  • Edison, NJ
  • NPI 1992663090

  NJ

  Medicare reassignment Care Compare group
• Patient Care Medical Group PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Woodbury, NJ
  • NPI 1891362364

  NJ

  Medicare reassignment Care Compare group
• Attentive Care General Practice of Medicine of NJ PC

  • Physical Medicine & Rehabilitation Physician
  • Cedarhurst, NY
  • NPI 1528877628

  NJ

  Medicare reassignment Care Compare group
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  NJ

  Medicare reassignment NPD (past)
• Robert Michael Grife Enterprises, LLC

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1134438310

  NJ

  Medicare reassignment
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Cherry Hill, NJ
  • NPI 1164972998
  NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Boost Physio and Performance

  • Physical Therapist
  • Medford, NJ
  • NPI 1174381370
  NPD (past)

Specialty

Physician Assistant

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Attentive Care General Practice of Medicine of NJ, PC 8 clinicians

Affiliated Primary Care Associates II 15 clinicians

Patient Care Medical Group PC 30 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ, FL2 enrollments

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hroberts17651@directvirtua.org
• Direct secure messaging: heather.roberts.1@29107.direct.athenahealth.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 26, 2020.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1770515462",
    "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",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE 385",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-840-4534",
            "fax_number": "856-762-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "HEATHER",
        "middle_name": "DIANE",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00144400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hroberts17651@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 385",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kwan Thanaporn Rivlin, M.D.
• Linda Rizzo, PT
• Shamika Roane, NP
• Colleen Mary Roback
• Barbara Theresa Roberts, M.D.
• Sharon Lynn Roberts, MA, LPC, LCADC, NCC
• Katelyn Robertson
• Demetrius Robinson, MSW, LSW
• Naim Robinson
• Theresa Robinson, RN

• All providers in Voorhees, NJ
• Medical Physician Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.

Verify at the official NPI Registry.