Jasdeep Singh Sodhi, M.D.
Individual provider Active NPI Hospitalist Physician · Mount Holly, NJ
NPI 1922246396 · NPPES record last updated Jan 29, 2024
Key facts
- NPI
- 1922246396
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hospitalist Physician 208M00000X
- License
- 25MA09159700 (NJ)
- Practice address
- 175 Madison Ave
Mount Holly, NJ 08060-2038 - Phone
- (609) 914-6180
- Fax
- (609) 914-6182
- NPI assigned
- Jan 23, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 17
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Virtua Medical Group, PA
Practice addresses (Care Compare)
Marlton, NJ 08053
Phone (856) 355-0340
175 Madison Ave
Mount Holly, NJ 08060-2038
3242 Route 206
Bordentown, NJ 08505-4517
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120905000784 | NJ | Practitioner - Internal Medicine | 9537316070 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA09159700 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocare, LLC | Internal Medicine | Current |
Accepting new patients |
| Virtua Medical Group, PA | Current |
Accepting new patients | |
| Hospitalist Physicians of New Jersey PA | Internal Medicine | Current |
Accepting new patients |
| Advocare , LLC | Internal Medicine | Current |
Accepting new patients |
| Virtua Medical Group, PA | Internal Medicine | Current |
Accepting new patients |
| Virtua Surgical Group, P.a | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
65 James St
Edison, NJ 08820
Phone (732) 321-7010
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
Interoperability endpoints
- jsodhi19830@directvirtua.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 25MA09159700 | NJ | |
| Hospitalist Physician | 208M00000X | 25MA09159700 | NJ | Yes |
Addresses
Primary practice location
175 Madison Ave
Mount Holly, NJ 08060-2038
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsodhi19830@directvirtua.org |
NPI Registry JSON
{
"created_epoch": "1232668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1922246396",
"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": "856-355-0346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602038",
"telephone_number": "609-914-6180",
"fax_number": "609-914-6182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SODHI",
"first_name": "JASDEEP",
"middle_name": "SINGH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-23",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA09159700",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MA09159700",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jsodhi19830@directvirtua.org",
"affiliation": "N",
"address_1": "175 Madison Ave",
"city": "Mount Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "080602038",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Mount Holly, NJ
- Evgenya Skarinsky
- Buster Smith
- Faith Smith
- Lorraine Smith
- Sterling Smith
- Solutions for U
- Solutions for U
- Solutions for U Counseling and Consulting Services LLC
- Angela Soto
- South Jersey Emergency Physicians
All providers in Mount Holly, NJ · Hospitalist Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.