Individual provider Active NPI

Jeffrey E Vanhook, DO

  • Interventional Cardiology Physician
  • Galloway, NJ
National Provider Identifier
1295935054
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
25MB08207700 Issued in NJ
Practice address
436 Chris Gaupp Dr
Suite 204
Galloway, NJ 08205-4487
Phone
(609) 652-0100
Fax
(609) 652-7616
NPI assigned
Jul 20, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 25MB08207700 NJ Primary
Cardiovascular Disease Physician 207RC0000X 25MB0820770 NJ

Addresses

Primary practice location

436 Chris Gaupp Dr
Suite 204
Galloway, NJ 08205-4487

Mailing address

436 Chris Gaupp Dr
Suite 204
Galloway, NJ 08205-4487
Phone (609) 652-0100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100414000658 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 1850317942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Rowan University School of Osteopathic Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

6725 Ventnor Ave
Ventnor City, NJ 08406-2166
Phone (609) 822-2006

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting70
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB0820770NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Cardiovascular Disease CurrentSince Mar 1, 2013 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Mar 1, 2013 Accepting new patients
South Jersey Heart Group, PC Cardiovascular Disease PastSince Sep 21, 1993 Accepting new patients

Locations

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

436 Chris Gaupp Dr
Ste 204
Galloway, NJ 08205
Phone (609) 652-0100

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

6725 Ventnor Ave
Ventnor City, NJ 08406
Phone (609) 350-6780

Interoperability endpoints

  • Direct secure messaging: jvanhook17064@direct.cooperhealth.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1295935054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 CHRIS GAUPP DR",
            "address_2": "SUITE 204",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054487",
            "telephone_number": "609-652-0100",
            "fax_number": "609-652-7616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 CHRIS GAUPP DR",
            "address_2": "SUITE 204",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054487",
            "telephone_number": "609-652-0100",
            "fax_number": "609-652-7616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOOK",
        "first_name": "JEFFREY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-20",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NJ",
            "license": "25MB08207700",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB0820770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.