Individual provider Active NPI

Timothy Adam Colangelo, M.D.

  • Cardiovascular Disease Physician
  • Voorhees, NJ
National Provider Identifier
1477088789
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA10811000 Issued in NJ
Practice address
2309 E Evesham Rd Ste 201a
Voorhees, NJ 08043-1559
Phone
(856) 325-5400
NPI assigned
Apr 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Cardiovascular Disease Physician 207RC0000X 25MA10811000 NJ Primary

Addresses

Primary practice location

2309 E Evesham Rd Ste 201a
Voorhees, NJ 08043-1559

Mailing address

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

Other practice location 1

6981 N Park Dr Ste 200D
Pennsauken, NJ 08109-4201
Phone (856) 663-4949

Other practice location 2

200 Tuckerton Rd Ste 9
Medford, NJ 08055-8806
Phone (856) 985-4590

Other practice location 3

833 Chestnut St
Suite 220
Philadelphia, PA 19107-4414
Phone (215) 955-8465

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address tcolangelo244436@directvirtua.org
Direct Messaging Address tcolangelo244436@directvirtua.org
Direct Messaging Address tcolangelo244436@directvirtua.org
Direct Messaging Address tcolangelo244436@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
I20231031000277 NJ Practitioner - Cardiovascular Disease (Cardiology) 0547547937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Drexel University College of Medicine, 2017
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)

2309 E Evesham Rd
Suite 201a
Voorhees, NJ 08043-1559
Phone (856) 325-5400

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10811000NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 24, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 24, 2023 Accepting new patients

Locations

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

2 Sindoni Ln
#A
Hammonton, NJ 08037
Phone (609) 561-8500

303 Lippincott Dr
Marlton, NJ 08053

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

303 Lippincott Dr
Ste 200
Marlton, NJ 08053
Phone (856) 355-0335

200 Tuckerton Rd
Ste 9
Medford, NJ 08055
Phone (856) 985-4590

6981 N Park Dr
Ste 200D
Pennsauken, NJ 08109
Phone (856) 663-4949

2309 E Evesham Rd
Ste 201A
Voorhees, NJ 08043
Phone (856) 247-0389

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 5

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": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1477088789",
    "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": "2309 E EVESHAM RD STE 201A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080431559",
            "telephone_number": "856-325-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6981 N Park Dr Ste 200D",
            "address_purpose": "LOCATION",
            "city": "Pennsauken",
            "state": "NJ",
            "postal_code": "081094201",
            "country_code": "US",
            "telephone_number": "856-663-4949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Tuckerton Rd Ste 9",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080558806",
            "country_code": "US",
            "telephone_number": "856-985-4590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "833 Chestnut St",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191074414",
            "country_code": "US",
            "telephone_number": "215-955-8465",
            "fax_number": "215-955-2516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLANGELO",
        "first_name": "TIMOTHY",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-24",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA10811000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcolangelo244436@directvirtua.org",
            "affiliation": "N",
            "address_1": "2309 E Evesham Rd Ste 201A",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080431559",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcolangelo244436@directvirtua.org",
            "affiliation": "N",
            "address_1": "6981 N Park Dr Ste 200D",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcolangelo244436@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Tuckerton Rd Ste 9",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080558806",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tcolangelo244436@directvirtua.org",
            "affiliation": "N",
            "address_1": "2 Sindoni Ln # A",
            "city": "Hammonton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080371884",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.