NPIMap

Individual provider Active NPI

Rosemarie C Villamayor, MD

  • Family Medicine Physician
  • Gibbsboro, NJ
National Provider Identifier
1336179407
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA07413000 Issued in NJ
Practice address
63 N Lakeview Dr
Suite 201
Gibbsboro, NJ 08026-1026
Phone
(856) 783-1777
NPI assigned
Jul 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA07413000 NJ Primary

Addresses

Primary practice location

63 N Lakeview Dr
Suite 201
Gibbsboro, NJ 08026-1026

Mailing address

63 N Lakeview Dr
Suite 201
Gibbsboro, NJ 08026-1026
Phone (856) 783-1777

Other identifiers 1

IdentifierTypeStateIssuer
8871701MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040511001369 NJ Practitioner - Family Practice 0648269860 Reassigns benefits to 1 organization
I20190823001959 PA Practitioner - Family Practice 0648269860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Jefferson Medical College of Thomas Jefferson University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1865 Route 70 E 210
Liver Trans Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (215) 662-6200

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 2, 2019 Accepting new patients
Lancaster General Medical Group CurrentSince Jul 2, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Family Medicine CurrentSince Feb 1, 2004 Accepting new patients
Lancaster General Medical Group Family Medicine CurrentSince Jul 2, 2019 Accepting new patients
Lancaster General Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Jul 2, 2019 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Family Medicine CurrentSince Feb 1, 2004 Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

63 N Lakeview Dr
Ste 201
Gibbsboro, NJ 08026
Phone (856) 783-1777

1020 Laurel Oak Rd
Ste 102
Voorhees, NJ 08043
Phone (856) 435-8842

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

620 Spear St
Oxford, PA 19363
Phone (610) 932-9300

1800 Lombard St
Ste 206
Philadelphia, PA 19146
Phone (215) 615-2222

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1336179407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 N LAKEVIEW DR",
            "address_2": "SUITE 201",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-783-1777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 N LAKEVIEW DR",
            "address_2": "SUITE 201",
            "city": "GIBBSBORO",
            "state": "NJ",
            "postal_code": "080261026",
            "telephone_number": "856-783-1777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMAYOR",
        "first_name": "ROSEMARIE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07413000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8871701",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibbsboro, NJ

Sources for this page

Verify at the official NPI Registry.