Individual provider Active NPI

Michael Joseph Driscoll V, D.O.

  • Pulmonary Disease Physician
  • Cherry Hill, NJ
National Provider Identifier
1497946792
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
25MB07868300 Issued in NJ
Practice address
107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone
(856) 429-1800
Fax
(856) 429-1081
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 25MB07868300 NJ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 25MB07868300 NJ
Pulmonary Disease Physician 207RP1001X 25MB07868300 NJ Primary

Addresses

Primary practice location

107 Berlin Rd
Cherry Hill, NJ 08034-3526

Mailing address

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

Other practice location 1

750 Route 73 S Ste 401
Marlton, NJ 08053-4145
Phone (856) 375-1288

Other practice location 2

1113 Hospital Dr Ste 305
Willingboro, NJ 08046-1130
Phone (856) 375-1288

Other practice location 3

412 Ewan Rd Ste E2
Mullica Hill, NJ 08062-3707
Phone (856) 596-9057

Other practice location 4

1000 Atlantic Ave Ste 205E
Camden, NJ 08104-1132
Phone (856) 596-9057

Other identifiers 1

IdentifierTypeStateIssuer
0159387MedicaidNJ

Electronic endpoints 5

TypeEndpointUseAffiliation
Direct Messaging Address mdriscoll18520@directvirtua.org
Direct Messaging Address mdriscoll18520@directvirtua.org
Direct Messaging Address mdriscoll18520@directvirtua.org
Direct Messaging Address mdriscoll18520@directvirtua.org
Direct Messaging Address mdriscoll18520@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
I20081229000488 NJ Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 0840352894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
Rowan University School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-7260

1000 Atlantic Ave
Camden, NJ 08104-1132

107 Berlin Rd
Cherry Hill, NJ 08034-3526
Phone (856) 429-1800

141 Route 70 E
Marlton, NJ 08053-1855

1600 Haddon Ave
Camden, NJ 08103-3101

175 Madison Ave
Mount Holly, NJ 08060-2038

239 Hurffville Crosskeys Rd
Suite 245
Sewell, NJ 08080-4006
Phone (856) 341-8300

3242 Route 206
Bordentown, NJ 08505-4517

750 Route 73 S
Suite 401
Marlton, NJ 08053-4145
Phone (856) 375-1288

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

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 Osteopathy

State licenses

LicenseStateTypeSpecialty
25MB07868300NJMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2020 Accepting new patients
Virtua Our Lady of Lourdes Hospital Inc Past Accepting new patients

Locations

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

1000 Atlantic Ave
Ste 205E
Camden, NJ 08104
Phone (856) 596-9057

107 Berlin Rd
Cherry Hill, NJ 08034
Phone (856) 429-1800

303 Lippincott Dr
Marlton, NJ 08053

750 Route 73 S
Ste 401
Marlton, NJ 08053
Phone (856) 332-0767

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

412 Ewan Rd
Ste E2
Mullica Hill, NJ 08062
Phone (856) 596-9051

1113 Hospital Dr
Ste 305
Willingboro, NJ 08046
Phone (609) 835-3624

Organizations & group practices 4

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1497946792",
    "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": "107 BERLIN RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343526",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 Route 73 S Ste 401",
            "address_purpose": "LOCATION",
            "city": "Marlton",
            "state": "NJ",
            "postal_code": "080534145",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1113 Hospital Dr Ste 305",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461130",
            "country_code": "US",
            "telephone_number": "856-375-1288",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 Ewan Rd Ste E2",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080623707",
            "country_code": "US",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Atlantic Ave Ste 205E",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081041132",
            "country_code": "US",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DRISCOLL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "V",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NJ",
            "license": "25MB07868300",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NJ",
            "license": "25MB07868300",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NJ",
            "license": "25MB07868300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0159387",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdriscoll18520@directvirtua.org",
            "affiliation": "N",
            "address_1": "107 Berlin Rd",
            "city": "Cherry Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080343526",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdriscoll18520@directvirtua.org",
            "affiliation": "N",
            "address_1": "750 Route 73 S Bldg 4",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080534141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdriscoll18520@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 305",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdriscoll18520@directvirtua.org",
            "affiliation": "N",
            "address_1": "412 Ewan Rd Ste E2",
            "city": "Mullica Hill",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080623707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mdriscoll18520@directvirtua.org",
            "affiliation": "N",
            "address_1": "1000 Atlantic Ave Ste 205E",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081041132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.