Individual provider Active NPI

Kathryn E Valenzano, NP

  • Gerontology Nurse Practitioner
  • Merchantville, NJ
National Provider Identifier
1336277599
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ00100000 Issued in NJ
Practice address
124 Lexington Ave
Merchantville, NJ 08109-2031
Phone
(856) 663-1121
Fax
(856) 661-9818
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ00100000 NJ Primary

Addresses

Primary practice location

124 Lexington Ave
Merchantville, NJ 08109-2031

Mailing address

124 Lexington Ave
Merchantville, NJ 08109-2031
Phone (856) 663-1121

Other practice location 1

200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638
Phone (856) 840-4535

Other identifiers 1

IdentifierTypeStateIssuer
0094447MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kvalenzano90815@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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060105000048 NJ Practitioner - Nurse Practitioner 2860415940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.98

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00100000NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 1, 2019 Accepting new patients
Peter a. Curreri, D.O., L.L.C. CurrentSince Mar 7, 2011 Accepting new patients
Joseph P. Curreri, D.O., LLC CurrentSince Mar 7, 2011 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2019 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients

Locations

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

601 Route 73 N
Ste 101
Marlton, NJ 08053
Phone (856) 355-7130

200 Bowman Dr
Ste E385
Voorhees, NJ 08043
Phone (856) 247-7220

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1336277599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 LEXINGTON AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092031",
            "telephone_number": "856-663-1121",
            "fax_number": "856-661-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 LEXINGTON AVE",
            "city": "MERCHANTVILLE",
            "state": "NJ",
            "postal_code": "081092031",
            "telephone_number": "856-663-1121",
            "fax_number": "856-661-9818"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Bowman Dr Ste E385",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439638",
            "country_code": "US",
            "telephone_number": "856-840-4535",
            "fax_number": "856-762-2853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENZANO",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00100000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0094447",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kvalenzano90815@directvirtua.org",
            "affiliation": "N",
            "address_1": "601 Route 73 N Ste 101",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080533472",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Merchantville, NJ

Sources for this page

Verify at the official NPI Registry.