Individual provider Active NPI

Renjy Vattasseril, M.D.

  • Gastroenterology Physician
  • Cape May Court House, NJ
National Provider Identifier
1093748089
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
25MA08709900 Issued in NJ
Practice address
217 N Main St
Suite 102
Cape May Court House, NJ 08210-2165
Phone
(609) 536-8010
Fax
(609) 536-8053
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 239444 NY
Gastroenterology Physician 207RG0100X 25MA08709900 NJ Primary

Addresses

Primary practice location

217 N Main St
Suite 102
Cape May Court House, NJ 08210-2165

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other identifiers 2

IdentifierTypeStateIssuer
0232475MedicaidNJ
P01227607OtherNJRAILROAD MEDICARE

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
I20101116000005 NJ Practitioner - GastroenterologyPractitioner - Internal Medicine 2062419237 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

217 N Main St
Suite 104
Cape May Court House, NJ 08210-2165
Phone (609) 465-2001

3 Cooper PLZ
Camden, NJ 08103-1438

Hospital & facility affiliations

  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
61.9
Promoting interoperability
97
Improvement activities
40
Cost
67.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy141
Upper gastrointestinal (GI) endoscopy for acid reflux147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
239444NYMDInternal Medicine Physician
25MA08709900NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Mar 1, 2025 Accepting new patients
Cape Physicians Associates PA Internal Medicine CurrentSince Oct 1, 2013 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Mar 1, 2025 Accepting new patients
Park Slope Emergency Physician Services, PC Past Accepting new patients
Park Slope Medicine, P.C. Internal Medicine Past Accepting new patients

Locations

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

217 N Main St
Ste 102
Cape May Court House, NJ 08210
Phone (609) 465-2001

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

Interoperability endpoints

  • Direct secure messaging: rvattasseril188466@direct.cooperhealth.edu
  • Direct secure messaging: renjyvattasseril@crhs.allscriptsdirect.net

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 3

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1093748089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N MAIN ST",
            "address_2": "SUITE 102",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102165",
            "telephone_number": "609-536-8010",
            "fax_number": "609-536-8053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VATTASSERIL",
        "first_name": "RENJY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "239444",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "25MA08709900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232475",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01227607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.