Individual provider Active NPI

Evan Jeremy Carabelli, M.D.

  • Interventional Cardiology Physician
  • Cherry Hill, NJ
National Provider Identifier
1255782140
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MA11899800 Issued in NJ
Practice address
2339 Route 70 W Ste 300
Cherry Hill, NJ 08002-3315
Phone
(856) 938-2052
Fax
(856) 795-2284
NPI assigned
Jun 22, 2016
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MA11899800 NJ Primary

Addresses

Primary practice location

2339 Route 70 W Ste 300
Cherry Hill, NJ 08002-3315

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (848) 288-6935

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
I20190606000029 PA Practitioner - Internal Medicine 5597059378 Reassigns benefits to 1 organization
I20230712001325 NJ Practitioner - Cardiovascular Disease (Cardiology) 5597059378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Temple University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1030 Kings Hwy N
Suite 310
Cherry Hill, NJ 08034-1907
Phone (856) 667-7266

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11899800NJMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Nephrology, PC CurrentSince Apr 18, 2024 Accepting new patients
CMC Department of Medicine Internal Medicine CurrentSince Jun 28, 2023 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 28, 2023 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 20, 2019 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Jun 20, 2019 Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients

Locations

1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1030 Kings Hwy N
Ste 310
Cherry Hill, NJ 08034
Phone (856) 667-7266

2339 Route 70 W
Ste 300
Cherry Hill, NJ 08002
Phone (856) 667-7266

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

1316 W Ontario St
Fl 1
Philadelphia, PA 19140
Phone (215) 707-7901

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3223 N Broad St
Philadelphia, PA 19140
Phone (215) 707-2900

3322 N Broad St
Philadelphia, PA 19140
Phone (215) 707-4000

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

Interoperability endpoints

  • Direct secure messaging: ecarabelli169214@direct.cooperhealth.edu

Organizations & group practices 7

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 8

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1255782140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 ROUTE 70 W STE 300",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023315",
            "telephone_number": "856-938-2052",
            "fax_number": "856-795-2284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARABELLI",
        "first_name": "EVAN",
        "middle_name": "JEREMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MA11899800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.