SHONTAE MOODY PA
NPI 1952730970
Physician Assistant in Williamstown, NJ

Active since November 12, 2013PECOS EnrolledAccepts Medicare Assignment
979 N BLACK HORSE PIKE, WILLIAMSTOWN, NJ 08094(856) 629-5151 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 20, 2024, Aug 31, 2018 (2 updates tracked since 2018).

About Shontae Moody Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHONTAE MOODY PA (NPI 1952730970) is an individual physician assistant in Williamstown, New Jersey, licensed in New Jersey (25MP00385300) and active in the NPI registry since November 2013. She is enrolled in Medicare PECOS, is affiliated with West Jersey Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1952730970
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHONTAE MOODYCredential: PA
Location Address979 N BLACK HORSE PIKEWilliamstown, NJ 08094-1044
Mailing Address401 Route 73 N Bldg 10, Suite 320Marlton, NJ 08053 · (856) 872-7055
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateNovember 12, 2013
Last NPPES UpdateDecember 20, 20242 updates tracked since enumeration
NPPES CertifiedDecember 20, 2024
NPI 1952730970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NJ · 25MP00385300 Licensed in PA · MA056299
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

979 N BLACK HORSE PIKE, Williamstown, NJ 08094

Other Names 1

Former Name (1)Shontae Smith

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shontae Moody Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719116912
PECOS Enrollment IDI20160216001907
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
95 services88 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
13 services12 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08094 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Family Medicine
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Internal Medicine (Geriatric Medicine)
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Preventive Medicine (Occupational Medicine)
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094
Clinic/Center (Occupational Medicine)
979 N BLACK HORSE PIKE
WILLIAMSTOWN, NJ 08094

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1952730970, enumerated as an "individual" on November 12, 2013.

The provider is located at 979 N BLACK HORSE PIKE WILLIAMSTOWN, NJ 08094 and the phone number is (856) 629-5151.

Physician Assistant with taxonomy code 363A00000X.

Shontae Moody is affiliated with: WEST JERSEY HOSPITAL and INSPIRA MEDICAL CENTER MULLICA HILL.