NPIMap

Individual provider Active NPI

Andrew M Blumenthal, DO

  • Family Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1962426338
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB06825300 Issued in NJ
Practice address
805 Cooper Rd
Suite 3
Voorhees, NJ 08043
Phone
(856) 751-1777
Fax
(856) 751-8090
NPI assigned
Jul 27, 2006
Last updated
Jan 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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 MB06825300 NJ Primary

Addresses

Primary practice location

805 Cooper Rd
Suite 3
Voorhees, NJ 08043

Mailing address

805 Cooper Rd
Suite 3
Voorhees, NJ 08043
Phone (856) 751-1777

Other identifiers 2

IdentifierTypeStateIssuer
5520304MedicaidNJ
558697OtherNJGROUP PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrewm.blumenthal@familypracticeassociatesofvoorheespa.chartmakerdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040426000163 NJ Practitioner - Family Practice 3870589682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Rowan University School of Osteopathic Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Associates of Voorhees, PAGroup PAC ID 5193621407, 2 clinicians

Practice addresses (Care Compare)

805 Cooper Rd
Suite 2
Voorhees, NJ 08043-3814
Phone (856) 751-1777

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB06825300NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Associates of Voorhees, P.C. Current Accepting new patients
Alliance for Better Care, P.C. Family Medicine Past Accepting new patients

Locations

805 Cooper Rd
Ste 3
Voorhees, NJ 08043
Phone (856) 325-4230

Interoperability endpoints

  • Direct secure messaging: andrew.blumenthal.1@29483.direct.athenahealth.com

Organizations & group practices 3

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 5

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1962426338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 COOPER RD",
            "address_2": "SUITE 3",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-751-1777",
            "fax_number": "856-751-8090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 COOPER RD",
            "address_2": "SUITE 3",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "856-751-1777",
            "fax_number": "856-751-8090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMENTHAL",
        "first_name": "ANDREW",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB06825300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5520304",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "558697",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewm.blumenthal@familypracticeassociatesofvoorheespa.chartmakerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "805 Cooper Rd",
            "address_2": "Suite 3",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.