Individual provider Active NPI

Jeffrey Steven Emrich, D.O.

  • Surgery Physician
  • Moorestown, NJ
National Provider Identifier
1396090510
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MB10627400 Issued in NJ
Practice address
401 Young Ave Ste 275
Moorestown, NJ 08057-3141
Phone
(856) 291-8670
Fax
(856) 291-8671
NPI assigned
Jul 14, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OT014499 PA
Surgery Physician 208600000X 25MB10627400 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 275
Moorestown, NJ 08057-3141

Mailing address

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

Other practice location 1

2701 Dekalb Pike
Norristown, PA 19401-1820
Phone (610) 267-2000

Other practice location 2

1113 Hospital Dr Ste 100A
Willingboro, NJ 08046-1128
Phone (609) 835-5821

Other identifiers 1

IdentifierTypeStateIssuer
0693464MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jemrich99974@directvirtua.org
Direct Messaging Address jemrich99974@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
I20190822004034 NJ Practitioner - General Surgery 2668721986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
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)

175 Madison Ave
Mount Holly, NJ 08060-2038

218 Sunset Rd
FL 5
Willingboro, NJ 08046-1110
Phone (609) 444-0359

3242 Route 206
Bordentown, NJ 08505-4517

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)20
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB10627400NJMDSurgery Physician
OT014499PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Surgery Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 29, 2019 Accepting new patients

Locations

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

212 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 267-1004

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 275B
Moorestown, NJ 08057
Phone (856) 291-8670

401 Young Ave
Ste 275
Moorestown, NJ 08057
Phone (856) 291-8670

1113 Hospital Dr
Ste 100A
Willingboro, NJ 08046
Phone (609) 835-5821

Organizations & group practices 2

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 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": "1342224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1396090510",
    "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",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 YOUNG AVE STE 275",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573141",
            "telephone_number": "856-291-8670",
            "fax_number": "856-291-8671"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Dekalb Pike",
            "address_purpose": "LOCATION",
            "city": "Norristown",
            "state": "PA",
            "postal_code": "194011820",
            "country_code": "US",
            "telephone_number": "610-267-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Hospital Dr Ste 100A",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461128",
            "country_code": "US",
            "telephone_number": "609-835-5821",
            "fax_number": "609-835-5827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMRICH",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-14",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "OT014499",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB10627400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0693464",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jemrich99974@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 275",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jemrich99974@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 100A",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.