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

Stacy Ruderman, PA

Individual provider Physician Assistant · NPI 1326595836

Stacy Ruderman, PA is a Physician Assistant in Voorhees, New Jersey. Qualified in 2016, 10 years ago. Practices with Virtua Medical Group, PA, a 1,669-clinician group and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
10
Licensed in
NJ
In the registry since
2016
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

200 Bowman Dr Ste 355
Voorhees, NJ 08043-9623
Phone: (856) 428-7700
Fax: (856) 247-7511
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 25MP00409500 (NJ)

Record details

NPI number1326595836
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 1, 2016
Last updated in NPPESOctober 22, 2024
Certification dateOctober 22, 2024
Mailing address7000 Atrium Way, Mount Laurel, NJ 08054-3917

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Virtua Medical Group, Pa — 1669 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Voorhees