Active NPI
Brian Paul Colangelo, LCSW, CADC
- Clinical Social Worker
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05390100
- Practice address
- 1605 E Evesham Rd Ste 200B
Voorhees, NJ 08043-1437 - Phone
- (856) 322-3110
- Fax
- (856) 322-3111
- NPI assigned
- Mar 30, 2009
- Last updated
- Sep 3, 2024
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37CA00097500 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05390100 | NJ | Primary |
Addresses
Primary practice location
1605 E Evesham Rd Ste 200B
Voorhees, NJ 08043-1437
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861969218 | Other | NJ | BRAVO |
| 91003022600 | Other | NJ | UHCCP |
| 3739827000 | Other | NJ | MAGELLAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bcolangelo218486@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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2309 E Evesham Rd
Voorhees, NJ 08043-1559
3242 Route 206
Bordentown, NJ 08505-4517
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37CA00097500 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05390100 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Project H.O.P.E., Inc. | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1 Federal St
#200
Camden, NJ 08103
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228
3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
401 Young Ave
Ste 260B
Moorestown, NJ 08057
1605 E Evesham Rd
Ste 200B
Voorhees, NJ 08043
Phone (856) 322-3110
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1609908094
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Urgent Care Clinic/Center
- Medford, NJ
- NPI 1144770975
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1891969218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1238371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725321600000",
"number": "1114169794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1605 E EVESHAM RD STE 200B",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080431437",
"telephone_number": "856-322-3110",
"fax_number": "856-322-3111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLANGELO",
"first_name": "BRIAN",
"middle_name": "PAUL",
"name_prefix": "Mr.",
"credential": "LCSW, CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-30",
"last_updated": "2024-09-03",
"certification_date": "2024-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37CA00097500",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05390100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRAVO",
"identifier": "1861969218",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHCCP",
"identifier": "91003022600",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "3739827000",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bcolangelo218486@directvirtua.org",
"affiliation": "N",
"address_1": "1605 E Evesham Rd Ste 200B",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080431437",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2024; 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.