Individual provider Active NPI

Vincent Spagnuolo, M.D.

  • Cardiovascular Disease Physician
  • Moorestown, NJ
National Provider Identifier
1487621090
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA04573800 Issued in NJ
Practice address
728 Marne Hwy Ste 200a
Moorestown, NJ 08057-3128
Phone
(856) 291-8855
Fax
(856) 291-8844
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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 25MA04573800 NJ
Cardiovascular Disease Physician 207RC0000X 25MA04573800 NJ Primary

Addresses

Primary practice location

728 Marne Hwy Ste 200a
Moorestown, NJ 08057-3128

Mailing address

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

Other practice location 1

1 Sheffield Dr Ste 201
Columbus, NJ 08022-9506
Phone (856) 291-8855

Other practice location 2

128 Route 70 Ste 1B
Medford, NJ 08055-2371
Phone (856) 291-8855

Other identifiers 1

IdentifierTypeStateIssuer
1832701MedicaidNJ

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address vspagnuolo14383@directvirtua.org
Direct Messaging Address vspagnuolo14383@directvirtua.org
Direct Messaging Address vspagnuolo14383@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
I20050908000058 NJ Practitioner - Cardiovascular Disease (Cardiology) 7911939228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Rutgers New Jersey Medical School, 1980
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)

1 Brace Rd
Cherry Hill, NJ 08034-2600

1 Sheffield Dr
Suite 201
Columbus, NJ 08022-9506
Phone (609) 291-8855

128 Route 70
Medford, NJ 08055-2371

2 Sindoni LN
Hammonton, NJ 08037-1884

2309 E Evesham Rd
Voorhees, NJ 08043-1559

3242 Route 206
Bordentown, NJ 08505-4517

728 Marne Hwy
Moorestown, NJ 08057-3128

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061

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
25MA04573800NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Internal Medicine CurrentSince Apr 16, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2012 Accepting new patients
Virtua Medical Group, PA CurrentSince Jul 1, 2012 Accepting new patients

Locations

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

1 Sheffield Dr
Ste 201
Columbus, NJ 08022
Phone (609) 291-8855

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

128 Route 70
Ste 1B
Medford, NJ 08055
Phone (856) 206-4786

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

728 Marne Hwy
Ste 200A
Moorestown, NJ 08057
Phone (856) 291-8855

2051 Briggs Rd
Mount Laurel, NJ 08054
Phone (856) 234-3332

Interoperability endpoints

  • Direct secure messaging: vspagnuolo14383@directvirtua.org

Organizations & group practices 3

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 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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1487621090",
    "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": "728 MARNE HWY STE 200A",
            "city": "MOORESTOWN",
            "state": "NJ",
            "postal_code": "080573128",
            "telephone_number": "856-291-8855",
            "fax_number": "856-291-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Sheffield Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "NJ",
            "postal_code": "080229506",
            "country_code": "US",
            "telephone_number": "856-291-8855",
            "fax_number": "609-444-5526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "128 Route 70 Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "NJ",
            "postal_code": "080552371",
            "country_code": "US",
            "telephone_number": "856-291-8855",
            "fax_number": "609-444-5521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNUOLO",
        "first_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA04573800",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA04573800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832701",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vspagnuolo14383@directvirtua.org",
            "affiliation": "N",
            "address_1": "128 Route 70 Ste 1B",
            "city": "Medford",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080552371",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vspagnuolo14383@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave",
            "address_2": "Suite 275",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vspagnuolo14383@directvirtua.org",
            "affiliation": "N",
            "address_1": "1 Sheffield Dr Ste 201",
            "city": "Columbus",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080229506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moorestown, NJ

Sources for this page

Verify at the official NPI Registry.