Gary Brattelli, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MB54208 Issued in NJ

Practice address

532 Berlin Cross Keys Rd
Sicklerville, NJ 08081-9565

Phone

(856) 728-8110

Fax

(856) 262-1936

NPI assigned

Jun 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Rowan University School of Osteopathic Medicine, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CICBBA/Endpoint/CICBBA

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Pennsauken, NJ
  • NPI 1275580615
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1366716565
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Woodbury, NJ
  • NPI 1710284005
  Care Compare affiliation
• Bayada Home Health Care, Inc.

  • Home Health Agency
  • Egg Harbor Township, NJ
  • NPI 1790730109
  Care Compare affiliation

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1215973649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 BERLIN CROSS KEYS RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080819565",
            "telephone_number": "856-728-8110",
            "fax_number": "856-262-1936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 BERLIN CROSS KEYS RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080819565",
            "telephone_number": "856-728-8110",
            "fax_number": "856-262-1936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRATTELLI",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB54208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5340608",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Sicklerville, NJ
• Providers in Sicklerville, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.

Verify at the official NPI Registry.