Individual provider Active NPI

Michael John Voyack, D.O.

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1003896028
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB05967900 Issued in NJ
Practice address
1001 Lincoln Dr W Ste F
Marlton, NJ 08053-1534
Phone
(856) 810-1800
Fax
(856) 810-1879
NPI assigned
Jan 17, 2006
Last updated
Apr 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB05967900 NJ Primary

Addresses

Primary practice location

1001 Lincoln Dr W Ste F
Marlton, NJ 08053-1534

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other identifiers 1

IdentifierTypeStateIssuer
5601304MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090917000388 NJ Practitioner - Family Practice 0749336634 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB05967900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine, PC Family Medicine Current Accepting new patients
Cooper Family Medicine Family Medicine CurrentSince Apr 3, 2013 Accepting new patients
Cooper Family Medicine Family Medicine Past Accepting new patients

Locations

141 S Black Horse Pike
Ste 1
Blackwood, NJ 08012
Phone (856) 232-6471

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1865 Harrison Ave
Ste 1300
Camden, NJ 08105
Phone (856) 963-0126

3156 River Rd
Camden, NJ 08105
Phone (856) 356-4988

1050 Kings Hwy N
Ste 105
Cherry Hill, NJ 08034
Phone (609) 321-0303

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

110 Marter Ave
Ste 503
Moorestown, NJ 08057
Phone (856) 608-8840

20 S Black Horse Pike
Ste 200
Runnemede, NJ 08078
Phone (856) 962-8840

Organizations & group practices 4

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1003896028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 LINCOLN DR W STE F",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080531534",
            "telephone_number": "856-810-1800",
            "fax_number": "856-810-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOYACK",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB05967900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5601304",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.