Individual provider Active NPI

H. Timothy Dombrowski, D.O.

  • Geriatric Medicine (Internal Medicine) Physician
  • Voorhees, NJ
National Provider Identifier
1417937582
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
25MB04129200 Issued in NJ
Practice address
333 Laurel Oak Rd
Voorhees, NJ 08043
Phone
(844) 542-2273
NPI assigned
Jan 17, 2006
Last updated
Mar 15, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 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 MB04129200 NJ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 25MB04129200 NJ Primary

Addresses

Primary practice location

333 Laurel Oak Rd
Voorhees, NJ 08043

Mailing address

333 Laurel Oak Rd
Voorhees, NJ 08043-4453
Phone (445) 422-2738

Other practice location 1

42 E Laurel Rd Ste 3100-A
Stratford, NJ 08084-1354
Phone (856) 577-6767

Other practice location 2

1474 Tanyard Road
Suite B100-A
Sewell, NJ 08080
Phone (856) 566-7070

Other identifiers 2

IdentifierTypeStateIssuer
2387000MedicaidNJ
110144664OtherNJRAILROAD MEDICARE

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address hdombrowski18124@directvirtua.org
Direct Messaging Address hdombrowski18124@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
I20100209000436 NJ Practitioner - Internal MedicinePractitioner - Geriatric MedicinePractitioner - Critical Care (Intensivists) 4587707872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists), Geriatric Medicine
Education
Philadelphia College of Osteopathic Medicine, 1981
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)

42 E Laurel Rd
Stratford, NJ 08084-1354
Phone (856) 566-6292

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB04129200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Internal Medicine Current Accepting new patients
Virtua Medical Group, PA CurrentSince Jun 29, 2023 Accepting new patients

Locations

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

1474 Tanyard Rd
Ste B100A
Sewell, NJ 08080
Phone (856) 566-6845

42 E Laurel Rd
#3100
Stratford, NJ 08084
Phone (609) 566-6859

42 E Laurel Rd
Ste 3100
Stratford, NJ 08084
Phone (856) 566-2753

42 E Laurel Rd
Ste 3100A
Stratford, NJ 08084
Phone (856) 566-7070

Interoperability endpoints

  • Direct secure messaging: hdombrowski18124@directvirtua.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1417937582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434453",
            "telephone_number": "445-422-2738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 LAUREL OAK RD",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "08043",
            "telephone_number": "844-542-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "42 E Laurel Rd Ste 3100-A",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "NJ",
            "postal_code": "080841354",
            "country_code": "US",
            "telephone_number": "856-577-6767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite B100-A",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "08080",
            "country_code": "US",
            "telephone_number": "856-566-7070",
            "fax_number": "856-566-6906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMBROWSKI",
        "first_name": "H.",
        "middle_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MB04129200",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NJ",
            "license": "25MB04129200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2387000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110144664",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdombrowski18124@directvirtua.org",
            "affiliation": "N",
            "address_1": "42 E Laurel Rd Ste 3100-A",
            "city": "Stratford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080841354",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hdombrowski18124@directvirtua.org",
            "affiliation": "N",
            "address_1": "1474 Tanyard Road",
            "address_2": "Suite B100-A",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.