Individual provider Active NPI

Vima M Patel, M.D.

  • Allergy & Immunology Physician
  • Turnersville, NJ
National Provider Identifier
1144765074
Registry record updated Mar 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD473735 Issued in PA
Practice address
188 Fries Mill Rd Ste M3
Turnersville, NJ 08012-2060
Phone
(856) 262-9200
Fax
(215) 521-7036
NPI assigned
Jan 2, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X 25MA12399800 NJ
Allergy & Immunology Physician 207K00000X MD473735 PA Primary

Addresses

Primary practice location

188 Fries Mill Rd Ste M3
Turnersville, NJ 08012-2060

Mailing address

188 Fries Mill Rd Ste M3
Turnersville, NJ 08012-2060
Phone (856) 262-9200

Other practice location 1

354 Hurffville Crosskeys Rd Bldg 3
Sewell, NJ 08080-3552
Phone (844) 542-2273

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
I20210719001983 PA Practitioner - Allergy/Immunology 0648673343
I20241126002555 NJ Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 0648673343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
Drexel University College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kennedy Medical Group Practice, P.C.Group PAC ID 2860616877, 417 clinicians

Practice addresses (Care Compare)

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174

Merit-based Incentive Payment System (MIPS)

Final score
84.25 of 100Reported as group
Quality
86.03
Promoting interoperability
86
Improvement activities
40
Cost
73.15

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kennedy Medical Group Practice PC CurrentSince Jan 1, 2024 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jan 1, 2024 Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Charles K Herman MD PLLC PastSince Oct 5, 2025 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

354 Hurffville Crosskeys Rd
Bldg 3
Sewell, NJ 08080
Phone (215) 481-6253

188 Fries Mill Rd
Ste M3
Turnersville, NJ 08012
Phone (800) 434-6070

Interoperability endpoints

  • Direct secure messaging: patel.vima.007.0170024@faa.meditab.direct-ci.com
  • Direct secure messaging: vima.patelmd.p1@direct.allergyasthmaspec.nextgenshare.com

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.

Hospital & facility affiliations 1

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": "1483315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1144765074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD STE M3",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122060",
            "telephone_number": "856-262-9200",
            "fax_number": "215-521-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 FRIES MILL RD STE M3",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122060",
            "telephone_number": "856-262-9200",
            "fax_number": "215-521-7036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "354 Hurffville Crosskeys Rd Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080803552",
            "country_code": "US",
            "telephone_number": "844-542-2273",
            "fax_number": "215-521-7036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VIMA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-02",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "NJ",
            "license": "25MA12399800",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "PA",
            "license": "MD473735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.