Individual provider Active NPI

Amita Vasoya, D.O.

  • Pulmonary Disease Physician
  • Moorestown, NJ
National Provider Identifier
1992785406
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB06425700 Issued in NJ
Practice address
400 W Route 38
Moorestown, NJ 08057-3219
Phone
(856) 270-4000
NPI assigned
Jan 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X C2-0011603 DE
Pulmonary Disease Physician 207RP1001X 25MB06425700 NJ Primary
Pulmonary Disease Physician 207RP1001X C2-0011603 DE
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MB06425700 NJ
Internal Medicine Physician 207R00000X 25MB06425700 NJ

Addresses

Primary practice location

400 W Route 38
Moorestown, NJ 08057-3219

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

4745 Ogletown Stanton Road
MAP 1, Suite 220
Newark, DE 19713-2074
Phone (302) 623-7600

Other identifiers 1

IdentifierTypeStateIssuer
8843406MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100302000094 NJ Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 4981749058 Reassigns benefits to 1 organization
I20160614000391 DE Practitioner - Pulmonary Disease 4981749058 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

400 W Route 38
Moorestown, NJ 08057-3219
Phone (856) 270-4000

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB06425700NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Internal Medicine CurrentSince Jun 17, 2017 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jul 5, 2016 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jul 30, 2024 Accepting new patients
Christiana Care Health Services Inc. Pulmonary Disease CurrentSince Jul 5, 2016 Accepting new patients
Christiana Care Health Services Inc Pulmonary Disease CurrentSince Jul 5, 2016 Accepting new patients
CMC Department of Medicine Group PA Pulmonary Disease CurrentSince Jul 30, 2024 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Hazleton Professional Services Internal Medicine Past Accepting new patients

Locations

4745 Stanton Ogletwn Rd
Ste 220
Newark, DE 19713
Phone (302) 368-5515

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

4745 Stanton Ogletwn Rd
Newark, DE 19713
Phone (302) 623-7600

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

Interoperability endpoints

  • Direct secure messaging: avasoya186792@direct.cooperhealth.edu

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1992785406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W ROUTE 38",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573219",
            "telephone_number": "856-270-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4745 Ogletown Stanton Road",
            "address_2": "MAP 1, Suite 220",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197132074",
            "country_code": "US",
            "telephone_number": "302-623-7600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VASOYA",
        "first_name": "AMITA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-19",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "DE",
            "license": "C2-0011603",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB06425700",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "DE",
            "license": "C2-0011603",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB06425700",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB06425700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8843406",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.