=====================================================
General NPI Number Information
=====================================================
NPI Number | 1205327202
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANELLE CHRISTINE SANTARSIERO PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/24/2018
-----------------------------------------------------
Last Update Date | 10/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 409 ROUTE 70 E
-----------------------------------------------------
City | CHERRY HILL
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08034-2413
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-926-8899
-----------------------------------------------------
Fax | 856-528-2351
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2099 NEW ALBANY RD
-----------------------------------------------------
City | CINNAMINSON
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08077-3534
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 609-926-8899
-----------------------------------------------------
Fax | 856-772-1997
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | MA05977
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | 25MP00542700
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------