Individual provider Active NPI

Jeffrey M Sumerson, M.D.

  • Infectious Disease Physician
  • Mount Laurel, NJ
National Provider Identifier
1073566303
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MA069153 Issued in NJ
Practice address
1001 Briggs Rd Ste 250
Mount Laurel, NJ 08054-4111
Phone
(856) 866-7466
Fax
(856) 866-9088
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MA069153 NJ Primary

Addresses

Primary practice location

1001 Briggs Rd Ste 250
Mount Laurel, NJ 08054-4111

Mailing address

245 N Riding Dr
Moorestown, NJ 08057-1326
Phone (856) 608-8239

Other practice location 1

200 Bowman Dr Ste E335
Voorhees, NJ 08043-9640
Phone (856) 247-7730

Other identifiers 1

IdentifierTypeStateIssuer
8636303MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jsumerson13853@directvirtua.org
Direct Messaging Address jsumerson13853@directvirtua.org

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
I20101201000219 NJ Practitioner - Infectious Disease 8022204155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Jefferson Medical College of Thomas Jefferson University, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1001 Briggs Rd
Suite 250
Mount Laurel, NJ 08054-4111
Phone (856) 866-7466

175 Madison Ave
Mount Holly, NJ 08060-2038

200 Bowman Dr
Suite E365
Voorhees, NJ 08043-9639
Phone (856) 247-7295

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA069153NJMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jun 1, 2015 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 1, 2015 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

1001 Briggs Rd
Ste 250
Mount Laurel, NJ 08054
Phone (856) 866-7466

200 Bowman Dr
Ste E335
Voorhees, NJ 08043
Phone (856) 247-7545

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1073566303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 N RIDING DR",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080571326",
            "telephone_number": "856-608-8239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BRIGGS RD STE 250",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080544111",
            "telephone_number": "856-866-7466",
            "fax_number": "856-866-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bowman Dr Ste E335",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439640",
            "country_code": "US",
            "telephone_number": "856-247-7730",
            "fax_number": "856-866-9088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMERSON",
        "first_name": "JEFFREY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "MA069153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8636303",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsumerson13853@directvirtua.org",
            "affiliation": "N",
            "address_1": "1001 Briggs Rd",
            "address_2": "Suite 250",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080544100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsumerson13853@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Dr Ste E335",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

Verify at the official NPI Registry.