Vip Rheumatology

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

VIP RHEUMATOLOGY

Practice address

200 Century Pkwy Ste D
Mount Laurel, NJ 08054-1150

Phone

(856) 567-4386

Fax

(866) 493-3717

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Anan Haija, MDNPI 1487869152

Title

Owner

Phone

(856) 567-4386

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anan Jawad Haija, M.D.

  • Rheumatology Physician
  • Galloway, NJ
  • NPI 1487869152
  Medicare reassignment Care Compare group NPD Authorized official
• Nickolas M Tyris, M.D.

  • Rheumatology Physician
  • Sewell, NJ
  • NPI 1821309154
  Medicare reassignment Care Compare group NPD
• Melissa Pluguez Moldavskiy, APRN FNP-BC AGACNPBC

  • Acute Care Nurse Practitioner
  • Camden, NJ
  • NPI 1659858900
  Medicare reassignment NPD

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705881600000",
    "number": "1457112484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY STE D",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-567-4386",
            "fax_number": "866-493-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CENTURY PKWY STE D",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541150",
            "telephone_number": "856-567-4386",
            "fax_number": "866-493-3717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "76 W Jimmie Leeds Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082059417",
            "country_code": "US",
            "telephone_number": "856-567-4386",
            "fax_number": "866-493-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIP RHEUMATOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A",
        "authorized_official_last_name": "HAIJA",
        "authorized_official_first_name": "ANAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-567-4386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guinemose Vengesa
• Cheruvathoor Samuel Verghese, ND, PH.D.,
• Leonard Franklin Vernon, DC
• Paul L Vernon, M.D.
• Verus Healthcare, LLC
• Virtua - Memorial Hospital of Burlington County, Inc.
• Virtua Home Care -Commumity Nursing Services Inc
• Virtua Medical Group, PA
• Visionary Eye Care Associates LLC
• Vitas Health Services of New Jersey, P.a.

• Rheumatology Physician in Mount Laurel, NJ
• Providers in Mount Laurel, NJ by specialty
• Rheumatology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.