Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shontae Moody, PA

Individual provider Physician Assistant · NPI 1952730970

Shontae Moody, PA is a Physician Assistant in Williamstown, New Jersey. Qualified in 2013, 13 years ago. Practices with Advocare, LLC, a 385-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
13
Licensed in
NJ, PA
In the registry since
2013
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

979 N Black Horse Pike
Williamstown, NJ 08094-1044
Phone: (856) 629-5151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00385300 (NJ)
Physician Assistant Taxonomy 363A00000X · Licence MA056299 (PA)

Record details

NPI number1952730970
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 12, 2013
Last updated in NPPESDecember 20, 2024
Certification dateDecember 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Advocare, Llc — 385 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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