Individual provider Active NPI

Jeffrey Bruce Geller, MD

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1104902006
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD062414L Issued in NJ
Practice address
402 Sheppard Rd Ste 300
Voorhees, NJ 08043-4685
Phone
(818) 639-3296
NPI assigned
Oct 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD062414L PA
Addiction Medicine (Internal Medicine) Physician 207RA0401X 25MA09329300 NJ
Internal Medicine Physician 207R00000X MD062414L NJ Primary

Addresses

Primary practice location

402 Sheppard Rd Ste 300
Voorhees, NJ 08043-4685

Mailing address

402 Sheppard Rd Ste 300
Voorhees, NJ 08043-4685
Phone (818) 639-3296

Other practice location 1

1 Guthrie Sq
Sayre, PA 18840-1625
Phone (570) 888-6666

Other identifiers 1

IdentifierTypeStateIssuer
001649582MedicaidPA

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
I20180607002339 NJ Practitioner - Internal MedicinePractitioner - Addiction MedicinePractitioner - Emergency Medicine 3375510621

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD062414LNJMDInternal Medicine Physician
25MA09329300NJMDAddiction Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurodiagnostics of New Nersey Current Accepting new patients
Robert Packer Hospital Past Accepting new patients
Emergency Physician Associates of Pennsylvania, PC Emergency Medicine Past Accepting new patients
Express Med of King of Prussia LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jgeller26751@direct-guthrie.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1104902006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 SHEPPARD RD STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434685",
            "telephone_number": "818-639-3296",
            "fax_number": "856-229-7699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 SHEPPARD RD STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434685",
            "telephone_number": "818-639-3296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Guthrie Sq",
            "address_purpose": "LOCATION",
            "city": "Sayre",
            "state": "PA",
            "postal_code": "188401625",
            "country_code": "US",
            "telephone_number": "570-888-6666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GELLER",
        "first_name": "JEFFREY",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD062414L",
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "NJ",
            "license": "25MA09329300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MD062414L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001649582",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.