Individual provider Active NPI

Nathan Daniel Bodin, M.D.

  • Orthopaedic Surgery Physician
  • Voorhees, NJ
National Provider Identifier
1881855955
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
25MA09164100 Issued in NJ
Practice address
200 Bowman Dr Ste E140
Voorhees, NJ 08043-9631
Phone
(856) 983-4263
NPI assigned
Jun 21, 2008
Last updated
Jun 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MT191213 PA
Orthopaedic Surgery Physician 207X00000X 25MA09164100 NJ Primary
Orthopaedic Hand Surgery Physician 207XS0106X 25MA09164100 NJ

Addresses

Primary practice location

200 Bowman Dr Ste E140
Voorhees, NJ 08043-9631

Mailing address

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

Other practice location 1

570 Egg Harbor Rd Ste B1
Sewell, NJ 08080-2359
Phone (856) 341-8495

Other practice location 2

1311 Fairview Blvd Ste B
Delran, NJ 08075-1474
Phone (856) 764-8804

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address nbodin23390@directvirtua.org
Direct Messaging Address nbodin23390@directvirtua.org
Direct Messaging Address nbodin23390@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
I20130715000499 NJ Practitioner - Orthopedic Surgery 3375783384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
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

175 Madison Ave
Mount Holly, NJ 08060-2038

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

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper limb (arm) arthroscopy (minimally invasive joint repair)54
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09164100NJMDOrthopaedic Surgery Physician
MT191213PAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Orthopaedic Surgery Current Accepting new patients
Advocare, LLC CurrentSince Mar 1, 2019 Accepting new patients
Virtua Medical Group, PA Orthopaedic Surgery CurrentSince Aug 19, 2019 Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2019 Accepting new patients
Virtua Medical Group, PA Hand Surgery PastSince Aug 1, 2019 Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

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

1311 Fairview Blvd
Ste B
Delran, NJ 08075
Phone (856) 368-3216

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

570 Egg Harbor Rd
Ste B1
Sewell, NJ 08080
Phone (856) 341-8495

200 Bowman Dr
Ste E140
Voorhees, NJ 08043
Phone (856) 768-1873

600 Somerdale Rd
Ste 113
Voorhees, NJ 08043
Phone (856) 795-0376

Interoperability endpoints

  • Direct secure messaging: nbodin23390@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 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": "1214006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655683200000",
    "number": "1881855955",
    "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": "200 BOWMAN DR STE E140",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439631",
            "telephone_number": "856-983-4263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 Egg Harbor Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080802359",
            "country_code": "US",
            "telephone_number": "856-341-8495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 Fairview Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Delran",
            "state": "NJ",
            "postal_code": "080751474",
            "country_code": "US",
            "telephone_number": "856-764-8804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BODIN",
        "first_name": "NATHAN",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-21",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MT191213",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NJ",
            "license": "25MA09164100",
            "primary": true
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NJ",
            "license": "25MA09164100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbodin23390@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste 140",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbodin23390@directvirtua.org",
            "affiliation": "N",
            "address_1": "570 Egg Harbor Rd Ste B1",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080802359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbodin23390@directvirtua.org",
            "affiliation": "N",
            "address_1": "1311 Fairview Blvd Ste B",
            "city": "Delran",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080751474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.