Individual provider Active NPI

Randa Baher Foda, M.D.

  • Family Medicine Physician
  • Mount Laurel, NJ
National Provider Identifier
1881629178
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07595300 Issued in NJ
Practice address
2000 Academy Dr
Mount Laurel, NJ 08054-2831
Phone
(856) 985-9100
Fax
(856) 985-9106
NPI assigned
Jul 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07595300 NJ Primary

Addresses

Primary practice location

2000 Academy Dr
Mount Laurel, NJ 08054-2831

Mailing address

2000 Academy Dr Ste 600
Mount Laurel, NJ 08054-2833
Phone (856) 914-9656

Other practice location 1

854 S White Horse Pike Unit 4
Hammonton, NJ 08037-2033
Phone (609) 704-0185

Other practice location 2

42 E Laurel Rd Ste 2100
Stratford, NJ 08084-1354
Phone (856) 566-7045

Other practice location 3

1474 Tanyard Road
Suite D100
Sewell, NJ 08080
Phone (856) 566-7045

Other practice location 4

100 Century Pkwy Ste 140
Mount Laurel, NJ 08054-1149
Phone (856) 380-2400

Other practice location 5

405 Hurffville Crosskeys Rd Ste 101
Sewell, NJ 08080-9340
Phone (856) 218-0300

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address rfoda18189@directvirtua.org
Direct Messaging Address rfoda18189@directvirtua.org
Direct Messaging Address rfoda18189@directvirtua.org
Direct Messaging Address rfoda18189@directvirtua.org
Direct Messaging Address rfoda18189@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
I20040623000960 NJ Practitioner - Family Practice 7517942451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
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 Century Pkwy
Suite 140
Mount Laurel, NJ 08054-1149
Phone (856) 380-2400

Hospital & facility affiliations

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
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prohealth Urgent Care Medicine of New Jersey LLP CurrentSince Aug 3, 2020 Accepting new patients
Virtua Medical Group, PA Family Medicine Current Accepting new patients
Professional Gastroenterology Associates PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 20, 2014 Accepting new patients
Virtua Medical Group, PA CurrentSince Oct 20, 2014 Accepting new patients
Hera Inpatient Services Past Accepting new patients
Executive Health Resources Clinical Staffing Solutions PC Past Accepting new patients
Infectious Diseases Consultants of New Jersey PA Past Accepting new patients
Clinical Staffing Solutions P.C. Past Accepting new patients

Locations

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

1210 Route 130 N
Ste 1438
Cinnaminson, NJ 08077
Phone (551) 313-0170

854 S White Horse Pike
Unit 4
Hammonton, NJ 08037
Phone (609) 704-0185

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373

303 Lippincott Dr
Marlton, NJ 08053

100 Century Pkwy
Ste 140
Mount Laurel, NJ 08054
Phone (856) 380-2400

1 Harmon Plz
Ste 1010
Secaucus, NJ 07094

1474 Tanyard Rd
Ste D100
Sewell, NJ 08080
Phone (856) 566-6265

405 Hurffville Crosskeys Rd
Ste 101
Sewell, NJ 08080
Phone (856) 218-0300

101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000

Interoperability endpoints

  • Direct secure messaging: randafodamd@fodafamilypractice.kareodirect.com

Organizations & group practices 10

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1881629178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DR STE 600",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542833",
            "telephone_number": "856-914-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ACADEMY DR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080542831",
            "telephone_number": "856-985-9100",
            "fax_number": "856-985-9106"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "854 S White Horse Pike Unit 4",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372033",
            "country_code": "US",
            "telephone_number": "609-704-0185",
            "fax_number": "609-704-0195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 E Laurel Rd Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-566-7045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D100",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "08080",
            "country_code": "US",
            "telephone_number": "856-566-7045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Century Pkwy Ste 140",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541149",
            "country_code": "US",
            "telephone_number": "856-380-2400",
            "fax_number": "856-234-7870",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809340",
            "country_code": "US",
            "telephone_number": "856-218-0300",
            "fax_number": "856-589-5082",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FODA",
        "first_name": "RANDA",
        "middle_name": "BAHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07595300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfoda18189@directvirtua.org",
            "affiliation": "N",
            "address_1": "854 S White Horse Pike Suite 4",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08037",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfoda18189@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Century Pkwy Ste 140",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfoda18189@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 2100",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfoda18189@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite D100",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rfoda18189@directvirtua.org",
            "affiliation": "N",
            "address_1": "405 Hurffville Crosskeys Rd Ste 101",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080809340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.