Individual provider Active NPI

Karla Fallucca

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1053734095
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00479100 Issued in NJ
Practice address
2961 Yorkship SQ
Camden, NJ 08104-2865
Phone
(856) 541-5588
NPI assigned
Jan 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00479100 NJ Primary

Addresses

Primary practice location

2961 Yorkship SQ
Camden, NJ 08104-2865

Mailing address

2961 Yorkship SQ
Camden, NJ 08104-2865
Phone (856) 541-5588

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140506001825 NJ Practitioner - Nurse Practitioner 3779716378 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Workcare, PCGroup PAC ID 3072705920, 3 clinicians

Practice addresses (Care Compare)

1125 Delsea Dr N
Glassboro, NJ 08028-1443
Phone (856) 218-7600

Hospital & facility affiliations

  • Bayada at Inspira, Home Health and Hospice Home health agency, Millville, NJ, CCN 317089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
American Workcare, PC CurrentSince Aug 1, 2024 Accepting new patients
Turnersville Internal Medicine and Geriatrics Past Accepting new patients
Jeffrey a Kleeman DO Past Accepting new patients

Locations

1125 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 218-7600

Organizations & group practices 5

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1053734095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2961 YORKSHIP SQ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042865",
            "telephone_number": "856-541-5588",
            "fax_number": "856-338-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YORKSHIP SQ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081042865",
            "telephone_number": "856-541-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALLUCCA",
        "first_name": "KARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-28",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00479100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.