Individual provider Active NPI

Gregg Michael Baranski, M.D.

  • Surgery Physician
  • Moorestown, NJ
National Provider Identifier
1447410014
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25MA09248900 Issued in NJ
Practice address
401 Young Ave Ste 275
Moorestown, NJ 08057-3141
Phone
(856) 291-8670
Fax
(856) 291-8671
NPI assigned
Jun 16, 2008
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 25MA09248900 NJ
Surgery Physician 208600000X 25MA09248900 NJ Primary

Addresses

Primary practice location

401 Young Ave Ste 275
Moorestown, NJ 08057-3141

Mailing address

50 Compass Cir
Mount Laurel, NJ 08054-6104
Phone (973) 464-6499

Other practice location 1

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

Other identifiers 1

IdentifierTypeStateIssuer
0479870MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gbaranski12200@directvirtua.org
Direct Messaging Address gbaranski12200@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
I20150714000164 NJ Practitioner - General Surgery 5496973760 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 2008
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)30
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Surgery CurrentSince Aug 1, 2015 Accepting new patients
Virtua Medical Group, PA CurrentSince Aug 1, 2015 Accepting new patients

Locations

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

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

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

542 Lippincott Dr
Marlton, NJ 08053
Phone (856) 596-3393

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

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

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

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

Interoperability endpoints

  • Direct secure messaging: gbaranski12200@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 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": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1447410014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMPASS CIR",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080546104",
            "telephone_number": "973-464-6499"
        },
        {
            "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": "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": "BARANSKI",
        "first_name": "GREGG",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA09248900",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA09248900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0479870",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbaranski12200@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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gbaranski12200@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"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.