Individual provider Active NPI

Eduard Koman, M.D.

  • Cardiovascular Disease Physician
  • Moorestown, NJ
National Provider Identifier
1144669268
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10511800 Issued in NJ
Practice address
728 Marne Hwy Ste 200a
Moorestown, NJ 08057-3128
Phone
(856) 291-8855
Fax
(856) 291-8844
NPI assigned
Jun 21, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT-205118 PA
Nuclear Cardiology Physician 207UN0901X 25MA10511800 NJ
Cardiovascular Disease Physician 207RC0000X 25MA10511800 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 practice location 1

128 Route 70 Ste 1B
Medford, NJ 08055-2371
Phone (856) 291-8855

Other practice location 2

1 Sheffield Dr Ste 201
Columbus, NJ 08022-9506
Phone (856) 291-8855

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address ekoman97554@directvirtua.org
Direct Messaging Address ekoman97554@directvirtua.org
Direct Messaging Address ekoman97554@directvirtua.org
Direct Messaging Address ekoman97554@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161115002194 PA Practitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Hospitalist 3870889637 Reassigns benefits to 1 organization
I20190815000030 NJ Practitioner - Cardiovascular Disease (Cardiology) 3870889637 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
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

1600 Haddon Ave
Camden, NJ 08103-3101

175 Madison Ave
Mount Holly, NJ 08060-2038

2 Sindoni LN
Hammonton, NJ 08037-1884

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

728 Marne Hwy
Moorestown, NJ 08057-3128

811 Sunset Rd
Burlington, NJ 08016-3645
Phone (609) 877-4545

Hospital & facility affiliations

  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Capital Health Medical Center - Hopewell Hospital, Pennington, NJ, CCN 310044
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT-205118PAMDInternal Medicine Physician
25MA10511800NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2019 Accepting new patients
Virtua Medical Group, PA Internal Medicine CurrentSince Jul 1, 2019 Accepting new patients
Tri-County Hospitalists, LLC Internal Medicine CurrentSince Oct 1, 2016 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 (609) 291-8855

303 Lippincott Dr
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

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

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

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

8835 Germantown Ave
Philadelphia, PA 19118
Phone (215) 248-8227

507 Kimberton Rd
Phoenixville, PA 19460
Phone (610) 243-9117

Interoperability endpoints

  • Direct secure messaging: ekoman97554@directvirtua.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 3

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 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": "1371772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1144669268",
    "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": [
        {
            "address_1": "128 Route 70 Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "856-291-8855",
            "fax_number": "856-444-5521",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Sheffield Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080229506",
            "country_code": "US",
            "telephone_number": "856-291-8855",
            "fax_number": "609-444-5526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOMAN",
        "first_name": "EDUARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-21",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT-205118",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NJ",
            "license": "25MA10511800",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10511800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekoman97554@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70 Ste 1B",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ekoman97554@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": "ekoman97554@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": "ekoman97554@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.