Active NPI
Kathryn E Valenzano, NP
- Gerontology Nurse Practitioner
- Merchantville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 26NJ00100000
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0094447 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 71.98
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00100000 | NJ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Peter a. Curreri, D.O., L.L.C. | Current | Accepting new patients | |
| Joseph P. Curreri, D.O., LLC | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | 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.
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.