Individual provider Active NPI

Alicia Wollermann, M.D.

  • Rheumatology Physician
  • Voorhees, NJ
National Provider Identifier
1629199591
Registry record updated Aug 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
25MA08032500 Issued in NJ
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

Updated by the provider on Aug 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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
I20090507000146 NJ Practitioner - RheumatologyPractitioner - Internal Medicine 5294883005 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
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, LLCGroup PAC ID 2365842440, 19 clinicians

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 Hospital, Cape May Court House, NJ, CCN 310011
  • Southern Ocean Medical Center Hospital, Manahawkin, NJ, CCN 310113
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
98.3 of 100Reported as group
Promoting interoperability
98
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Trabecular Medical Group, LLC Rheumatology CurrentSince Jul 1, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.