Individual provider Active NPI

Christopher Mercogliano, D.O.

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
National Provider Identifier
1306292966
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB10494100 Issued in NJ
Practice address
1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600
Phone
(856) 428-4100
NPI assigned
May 12, 2016
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT016888 PA
Cardiovascular Disease Physician 207RC0000X 25MB10494100 NJ Primary

Addresses

Primary practice location

1 Brace Rd Ste C1
Cherry Hill, NJ 08034-2600

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340

Other practice location 1

2309 E Evesham Rd Ste 201B
Voorhees, NJ 08043-1559
Phone (856) 424-3600

Other practice location 2

2 Sindoni Ln # A
Hammonton, NJ 08037-1884
Phone (609) 561-8500

Other practice location 3

730 N Broad St Ste 200A
Woodbury, NJ 08096-1796
Phone (856) 251-2340

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address cmercogliano136931@directvirtua.org
Direct Messaging Address cmercogliano136931@directvirtua.org
Direct Messaging Address cmercogliano136931@directvirtua.org
Direct Messaging Address cmercogliano136931@directvirtua.org

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
I20200309000607 NJ Practitioner - Internal Medicine 3870885429 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Lake Erie College of Osteopathic Medicine, Erie, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Brace Rd
Suite C1
Cherry Hill, NJ 08034-2600
Phone (856) 428-4100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT016888PAMDInternal Medicine Physician
25MB10494100NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Associates of the Delaware Valley,P a Cardiovascular Disease CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2022 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1 Brace Rd
Ste C1
Cherry Hill, NJ 08034
Phone (856) 428-4100

120 White Horse Pike
Ste 112
Haddon Hgts, NJ 08035
Phone 85654705392215

210 W Atlantic Ave
Haddon Hts, NJ 08035
Phone (856) 546-3003

2 Sindoni Ln
#A
Hammonton, NJ 08037
Phone (609) 561-8500

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Marlton, NJ 08053

999 Route 73 N
Ste 205
Marlton, NJ 08053
Phone (856) 795-2227

2309 E Evesham Rd
Ste 201B
Voorhees, NJ 08043
Phone (856) 424-3600

730 N Broad St
Ste 200A
Woodbury, NJ 08096
Phone (856) 251-2340

Organizations & group practices 4

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 4

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1306292966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRACE RD STE C1",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342600",
            "telephone_number": "856-428-4100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2309 E Evesham Rd Ste 201B",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080431559",
            "country_code": "US",
            "telephone_number": "856-424-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Sindoni Ln # A",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080371884",
            "country_code": "US",
            "telephone_number": "609-561-8500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 N Broad St Ste 200A",
            "address_purpose": "LOCATION",
            "city": "Woodbury",
            "state": "NJ",
            "postal_code": "080961796",
            "country_code": "US",
            "telephone_number": "856-251-2340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCOGLIANO",
        "first_name": "CHRISTOPHER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-12",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT016888",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB10494100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmercogliano136931@directvirtua.org",
            "affiliation": "N",
            "address_1": "730 N Broad St Ste 200A",
            "city": "Woodbury",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080961796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmercogliano136931@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Brace Rd Ste C1",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080342600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmercogliano136931@directvirtua.org",
            "affiliation": "N",
            "address_1": "2309 E Evesham Rd Ste 201B",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmercogliano136931@directvirtua.org",
            "affiliation": "N",
            "address_1": "2 Sindoni Ln # A",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080371884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.