Individual provider Active NPI

Katherine A Johnston, PA-C

  • Physician Assistant
  • Moorestown, NJ
National Provider Identifier
1881326874
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
300 West Route 38
Moorestown, NJ 08057
Phone
(856) 673-3960
NPI assigned
Jun 28, 2022
Last updated
Mar 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

300 West Route 38
Moorestown, NJ 08057

Mailing address

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

Other practice location 1

131 Route 70, Suite 100
Medford, NJ 08055
Phone (856) 673-3960

Other practice location 2

63 Kresson Road, Suite 103
Cherry Hill, NJ 08034
Phone (856) 784-4444

Other practice location 3

570 Egg Harbor Road, Suite C-4
Sewell, NJ 08080
Phone (856) 256-0051

Other practice location 4

243 Route 130, Suite 100
Bordentown, NJ 08505
Phone (609) 267-9400

Other practice location 5

200 Bowman Drive, Suite E-100
Voorhees, NJ 08043
Phone (856) 673-3960

Other practice location 6

994 West Sherman Avenue
Vineland, NJ 08360
Phone (856) 696-0900

Other practice location 7

614 Lambs Road, Suite C
Pitman, NJ 08071
Phone (856) 256-0051

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/ Direct
Direct Messaging Address johnstonk@hss.edu Direct
FHIR URL https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2 Direct

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
I20230816000044 NJ Practitioner - Physician Assistant 9739541236 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
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

131 Route 70
Suite 100
Medford, NJ 08055-9501
Phone (856) 673-3960

175 Madison Ave
Mount Holly, NJ 08060-2038

200 Bowman Dr
Suite E365
Voorhees, NJ 08043-9639
Phone (856) 247-7295

3242 Route 206
Bordentown, NJ 08505-4517

570 Egg Harbor Rd
Sewell, NJ 08080-2359

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Quality
86.68
Promoting interoperability
99
Improvement activities
40
Cost
89.37

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rothman Institute of New Jersey, P.a. CurrentSince Aug 14, 2023 Accepting new patients
Virtua Medical Group, PA Physician Assistant CurrentSince Sep 1, 2024 Accepting new patients
Virtua Medical Group, PA CurrentSince Sep 1, 2024 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

243 US Highway 130
Ste 100
Bordentown, NJ 08505
Phone (609) 400-1630

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

63 Kresson Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 427-9004

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

999 Route 73 N
Ste 401
Marlton, NJ 08053
Phone (609) 617-3546

131 Route 70
#100
Medford, NJ 08055
Phone (856) 630-7468

300 W Route 38
Moorestown, NJ 08057
Phone 60926794001224

614 Lambs Rd
Unit C
Pitman, NJ 08071
Phone (856) 256-0051

570 Egg Harbor Rd
Ste C4
Sewell, NJ 08080
Phone (856) 256-0051

200 Bowman Dr
Ste E100
Voorhees, NJ 08043
Phone (856) 673-3960

Interoperability endpoints

  • Direct secure messaging: kjohnston277165@directvirtua.org

Organizations & group practices 5

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 4

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": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1881326874",
    "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": "300 WEST ROUTE 38",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "08057",
            "telephone_number": "856-673-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Route 70, Suite 100",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "08055",
            "country_code": "US",
            "telephone_number": "856-673-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Kresson Road, Suite 103",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "08034",
            "country_code": "US",
            "telephone_number": "856-784-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "570 Egg Harbor Road, Suite C-4",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "08080",
            "country_code": "US",
            "telephone_number": "856-256-0051",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "243 Route 130, Suite 100",
            "address_purpose": "LOCATION",
            "city": "Bordentown",
            "state": "NJ",
            "postal_code": "08505",
            "country_code": "US",
            "telephone_number": "609-267-9400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Bowman Drive, Suite E-100",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-673-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "994 West Sherman Avenue",
            "address_purpose": "LOCATION",
            "city": "Vineland",
            "state": "NJ",
            "postal_code": "08360",
            "country_code": "US",
            "telephone_number": "856-696-0900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "614 Lambs Road, Suite C",
            "address_purpose": "LOCATION",
            "city": "Pitman",
            "state": "NJ",
            "postal_code": "08071",
            "country_code": "US",
            "telephone_number": "856-256-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "KATHERINE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "johnstonk@hss.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0927.epichosted.com/FHIRProxy/api/FHIR/DSTU2",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "535 E 70th St",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100214823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.