Individual provider Active NPI

Vrunda Patel

  • Gerontology Nurse Practitioner
  • Swedesboro, NJ
National Provider Identifier
1174330773
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ15221100 Issued in NJ
Practice address
553 Beckett Rd
Swedesboro, NJ 08085-1565
Phone
(609) 455-1576
Fax
(609) 623-2667
NPI assigned
Dec 17, 2024
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ15221100 NJ Primary

Addresses

Primary practice location

553 Beckett Rd
Swedesboro, NJ 08085-1565

Mailing address

211 Beech LN
Swedesboro, NJ 08085-4033
Phone (516) 808-5858

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250701000831 NJ Practitioner - Nurse Practitioner 2860905015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Senacare LLCGroup PAC ID 6103257571, 21 clinicians

Practice addresses (Care Compare)

507 Mullica Hill Rd
Mullica Hill, NJ 08062-2665
Phone (609) 455-1576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ15221100NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Senacare, LLC CurrentSince Apr 24, 2025 Accepting new patients
Senacare, LLC CurrentSince Apr 24, 2025 Accepting new patients

Locations

1981 Old Cuthbert Rd
Cherry Hill, NJ 08034
Phone (856) 428-0685

507 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (609) 455-1576

553 Beckett Rd
Ste 500
Swedesboro, NJ 08085

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

6 Commissioners Pike
Woodstown, NJ 08098
Phone (856) 823-6100

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.

NPI Registry JSON

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

{
    "created_epoch": "1734393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1174330773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 BEECH LN",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080854033",
            "telephone_number": "516-808-5858",
            "fax_number": "442-257-6912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 BECKETT RD",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851565",
            "telephone_number": "609-455-1576",
            "fax_number": "609-623-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "VRUNDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-17",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ15221100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swedesboro, NJ

Sources for this page

Verify at the official NPI Registry.