Individual provider Active NPI

Kirstin Sanborn, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Sewell, NJ
National Provider Identifier
1780990226
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
25MB11829300 Issued in NJ
Practice address
1474 Tanyard Road
Suite A100
Sewell, NJ 08080
Phone
(856) 566-7010
Fax
(856) 566-6961
NPI assigned
Aug 22, 2010
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 25MB11829300 NJ Primary
Family Medicine Physician 207Q00000X OS017150 PA

Addresses

Primary practice location

1474 Tanyard Road
Suite A100
Sewell, NJ 08080

Mailing address

1474 Tanyard Road
Suite A100
Sewell, NJ 08080
Phone (856) 566-7010

Other practice location 1

3360 College Drive
Suite A
Vineland, NJ 08360
Phone (856) 566-7010

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ksanborn260392@directvirtua.org
Direct Messaging Address ksanborn260392@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20141022000970 PA Practitioner - Family Practice 1951522663 Reassigns benefits to 1 organization
I20231117002748 NJ Practitioner - Osteopathic Manipulative Medicine 1951522663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 2010
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)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1474 Tanyard Rd
Sewell, NJ 08080-4222

3242 Route 206
Bordentown, NJ 08505-4517

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Esperanza Health Center, Inc. CurrentSince Nov 30, 2015 Accepting new patients
Virtua Medical Group, PA Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2023 Accepting new patients
Esperanza Health Center, Inc. Past Accepting new patients

Locations

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

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

1474 Tanyard Rd
Ste A100
Sewell, NJ 08080
Phone (856) 566-7010

2940 N 5th St
Philadelphia, PA 19133
Phone (215) 221-6633

4417 N 6th St
Philadelphia, PA 19140
Phone (215) 302-3150

861 E Allegheny Ave
Philadelphia, PA 19134
Phone (215) 302-3600

Interoperability endpoints

  • Direct secure messaging: kirstin.sanborn.p1@direct.dvch.nextgenshare.com
  • Direct secure messaging: ksanborn260392@directvirtua.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1282435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1780990226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1474 TANYARD ROAD",
            "address_2": "SUITE A100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-566-7010",
            "fax_number": "856-566-6961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1474 TANYARD ROAD",
            "address_2": "SUITE A100",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-566-7010",
            "fax_number": "856-566-6961"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3360 College Drive",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "08360",
            "country_code": "US",
            "telephone_number": "856-566-7010",
            "fax_number": "856-563-2753",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANBORN",
        "first_name": "KIRSTIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-22",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NJ",
            "license": "25MB11829300",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS017150",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksanborn260392@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite A100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ksanborn260392@directvirtua.org",
            "affiliation": "N",
            "address_1": "3360 College Drive",
            "address_2": "Suite A",
            "city": "Vineland",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08360",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.