Rita T. Konzelman, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

TP003516C Issued in PA

Practice address

3001 E Evesham Rd
On-Site Specialty Care- CRNP
Voorhees, NJ 08043-9547

Phone

(856) 751-1600

NPI assigned

May 17, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Prospect Health Access Network, Inc.

  • Emergency Medicine Physician
  • Chester, PA
  • NPI 1568819084
  Medicare reassignment NPD
• Prospect Health Access Network, Inc.

  • Diagnostic Radiology Physician
  • Chester, PA
  • NPI 1154776797
  NPD
• Prospect Health Access Network, Inc.

  • Obstetrics & Gynecology Physician
  • Chester, PA
  • NPI 1649627167
  NPD
• On-Site Specialty Care, LLC

  • Nurse Practitioner
  • Voorhees, NJ
  • NPI 1053365973
  NPD (past)
• Surgical & Critical Care Associates

  • Family Nurse Practitioner
  • Woodbury, NJ
  • NPI 1619995594
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482796800000",
    "number": "1477505535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 CONCHESTER HWY",
            "address_2": "STE 5A",
            "city": "GARNET VALLEY",
            "state": "PA",
            "postal_code": "190602105",
            "telephone_number": "856-231-4774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 E EVESHAM RD",
            "address_2": "ON-SITE SPECIALTY CARE- CRNP",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439547",
            "telephone_number": "856-751-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONZELMAN",
        "first_name": "RITA",
        "middle_name": "T.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2016-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "TP003516C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092835",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101061845",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Kocher
• Lavanya A Kodavali, MD
• David Michael Koerner, D.O.
• Ramya Reddy Kommidi, DO
• Leah Kompare
• Genevieve Frances Kopec, PA-C
• Renee Kopec, PHARMD
• Patricia Ann Koper, NURSE PRACTITIONER
• Joshua Kopytko, CRNA
• Jordyn Kossow

• Nurse Practitioner in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.