Active NPI
Renjy Vattasseril, M.D.
- Gastroenterology Physician
- Cape May Court House, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 25MA08709900
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0232475 | Medicaid | NJ | |
| P01227607 | Other | NJ | RAILROAD 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Cooper University Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.15 of 100
- Quality
- 61.9
- Promoting interoperability
- 97
- Improvement activities
- 40
- Cost
- 67.78
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 141 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239444 | NY | MD | Internal Medicine Physician |
| 25MA08709900 | NJ | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Cape Physicians Associates PA | Internal Medicine | Current | Accepting new patients |
| CMC Department of Medicine Group PA | Current | 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
- rvattasseril188466@direct.cooperhealth.edu
- 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.
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
- Internal Medicine Physician
- Cape May Court House, NJ
- NPI 1003805227
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1043251390
-
- Hematology & Oncology Physician
- Brooklyn, NY
- NPI 1215989116
Internal Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.