Individual provider Active NPI

Samuel M Ventrella, M.D.

  • Nuclear Cardiology Physician
  • Moorestown, NJ
National Provider Identifier
1114986213
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
25MA06625900 Issued in NJ
Practice address
728 Marne Hwy Ste 200a
Moorestown, NJ 08057-3128
Phone
(856) 291-8855
Fax
(856) 291-8844
NPI assigned
Mar 20, 2006
Last updated
Oct 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 25MA06625900 NJ
Nuclear Cardiology Physician 207UN0901X 25MA06625900 NJ Primary

Addresses

Primary practice location

728 Marne Hwy Ste 200a
Moorestown, NJ 08057-3128

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other identifiers 4

IdentifierTypeStateIssuer
2K5365OtherHEALTHNET
8731608MedicaidNJ
P1034222OtherOXFORD
0005680689OtherAETNA

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address sventrella13991@directvirtua.org
Direct Messaging Address sventrella13991@directvirtua.org
Direct Messaging Address sventrella13991@directvirtua.org
Direct Messaging Address sventrella13991@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
I20110309000862 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2365460995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Cherry Hill, NJ 08034-2600

1 Sheffield Dr
Suite 201
Columbus, NJ 08022-9506
Phone (609) 291-8855

128 Route 70
Medford, NJ 08055-2371

175 Madison Ave
Mount Holly, NJ 08060-2038

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

539 Egg Harbor Rd
Sewell, NJ 08080-2371
Phone (856) 589-0300

728 Marne Hwy
Moorestown, NJ 08057-3128

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2012 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2012 Accepting new patients

Locations

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

1 Sheffield Dr
Ste 201
Columbus, NJ 08022
Phone (856) 291-8855

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

128 Route 70
Ste 1B
Medford, NJ 08055
Phone (856) 206-4786

401 Young Ave
Ste 275
Moorestown, NJ 08057
Phone (856) 291-8670

728 Marne Hwy
Ste 200A
Moorestown, NJ 08057
Phone (856) 291-8855

2051 Briggs Rd
Mount Laurel, NJ 08054
Phone (856) 234-3332

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

Interoperability endpoints

  • Direct secure messaging: sventrella13991@directvirtua.org

Organizations & group practices 2

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 5

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": "1142812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730073600000",
    "number": "1114986213",
    "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": "728 MARNE HWY STE 200A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573128",
            "telephone_number": "856-291-8855",
            "fax_number": "856-291-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENTRELLA",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-20",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA06625900",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA06625900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2K5365",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8731608",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1034222",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0005680689",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sventrella13991@directvirtua.org",
            "affiliation": "N",
            "address_1": "6500 K Johnson Blvd Ste 100C",
            "city": "Bordentown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "085052282",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sventrella13991@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Sheffield Dr Ste 201",
            "city": "Columbus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080229506",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sventrella13991@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Rte 70 Medford Plaza Suite 1B",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sventrella13991@directvirtua.org",
            "affiliation": "N",
            "address_1": "728 Marne Hwy Ste 200A",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.