Individual provider Active NPI

Randolph Deger, M.D

  • Gynecologic Oncology Physician
  • Voorhees, NJ
National Provider Identifier
1598754400
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
25MA07854700 Issued in NJ
Practice address
200 Bowman Drive
Suite E315
Voorhees, NJ 08043-4520
Phone
(856) 247-7310
Fax
(856) 247-7309
NPI assigned
Oct 14, 2005
Last updated
Oct 8, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X 25MA07854700 NJ Primary

Addresses

Primary practice location

200 Bowman Drive
Suite E315
Voorhees, NJ 08043-4520

Mailing address

7000 Atrium Way
Suite 6
Mount Laurel, NJ 08054
Phone (856) 291-6818

Other identifiers 1

IdentifierTypeStateIssuer
0069426MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rdeger12674@directvirtua.org
Direct Messaging Address rdeger12674@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
I20050627000283 NJ Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 5193763639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1986
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)

200 Bowman Dr
Suite E325
Voorhees, NJ 08043-9652
Phone (856) 247-7420

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA07854700NJMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

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

401 Young Ave
Ste 146B
Moorestown, NJ 08057
Phone (856) 247-7310

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

120 Carnie Blvd
Ste 1
Voorhees, NJ 08043
Phone (856) 325-4310

200 Bowman Dr
Ste E315
Voorhees, NJ 08043
Phone (856) 247-7310

200 Bowman Dr
Ste E325
Voorhees, NJ 08043
Phone (856) 247-7420

Interoperability endpoints

  • Direct secure messaging: rdeger12674@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1598754400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 ATRIUM WAY",
            "address_2": "SUITE 6",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-291-6818",
            "fax_number": "856-291-6819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DRIVE",
            "address_2": "SUITE E315",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434520",
            "telephone_number": "856-247-7310",
            "fax_number": "856-247-7309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGER",
        "first_name": "RANDOLPH",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "NJ",
            "license": "25MA07854700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069426",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeger12674@directvirtua.org",
            "affiliation": "N",
            "address_1": "200 Bowman Drive",
            "address_2": "Suite E315",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080434520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdeger12674@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 146B",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.