Active NPI
Alicia Wollermann, M.D.
- Rheumatology Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rheumatology Physician
- License
- 25MA08032500
- Practice address
- 2301 E. Evesham Road
BLDG 800, Suite 115
Voorhees, NJ 08043 - Phone
- (856) 424-5005
- Fax
- (856) 424-4716
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rheumatology Physician | 207RR0500X | 25MA08032500 | NJ | Primary |
Addresses
Primary practice location
2301 E. Evesham Road
BLDG 800, Suite 115
Voorhees, NJ 08043
Mailing address
2301 E. Evesham Road
BLDG 800, Suite 115
Voorhees, NJ 08043-4509
Phone (856) 424-5005
Other names 1
- Alicia Weeks / Orth
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090507000146 | NJ | Practitioner - Rheumatology | 5294883005 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Rheumatology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Trabecular Medical Group, LLC
Practice addresses (Care Compare)
314 Chris Gaupp Dr
Suite 103
Galloway, NJ 08205-4464
Phone (856) 424-5005
Hospital & facility affiliations
- Cape Regional Medical Center Inc
- Southern Ocean Medical Center
- West Jersey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.3 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trabecular Medical Group, LLC | Rheumatology | Current | Accepting new patients |
Locations
314 Chris Gaupp Dr
Ste 103
Galloway, NJ 08205
2301 E Evesham Rd
Bldg 800
Voorhees, NJ 08043
Phone (856) 770-9300
Interoperability endpoints
- awollermann@arthritis.medentdirect.com
Organizations & group practices 1
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 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cape May Court House, NJ
- NPI 1053382697
Hospital
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567036800000",
"number": "1629199591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2301 E. EVESHAM ROAD",
"address_2": "BLDG 800, SUITE 115",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080434509",
"telephone_number": "856-424-5005",
"fax_number": "856-424-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 E. EVESHAM ROAD",
"address_2": "BLDG 800, SUITE 115",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "08043",
"telephone_number": "856-424-5005",
"fax_number": "856-424-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLLERMANN",
"first_name": "ALICIA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2019-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RR0500X",
"taxonomy_group": "",
"desc": "Internal Medicine, Rheumatology",
"state": "NJ",
"license": "25MA08032500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALICIA",
"last_name": "WEEKS / ORTH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.