Individual provider Active NPI

Gerard V Vernose, M.D.

  • Otolaryngology Physician
  • Philadelphia, PA
National Provider Identifier
1639116775
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD015406E Issued in PA
Practice address
1841 S Broad St
Philadelphia, PA 19148-2115
Phone
(215) 465-8800
Fax
(215) 465-8814
NPI assigned
May 31, 2006
Last updated
Mar 25, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD015406E PA Primary

Addresses

Primary practice location

1841 S Broad St
Philadelphia, PA 19148-2115

Mailing address

1841 S Broad St
Philadelphia, PA 19148-2115
Phone (215) 465-8800

Other identifiers 2

IdentifierTypeStateIssuer
075516SBCOtherNJPTAN
115017KD4OtherPAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040217000790 NJ Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 9537054747 Reassigns benefits to 1 organization
I20101019000960 PA Practitioner - Otolaryngology 9537054747 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Hahnemann University College of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vernose and McGrath Otolaryngology AssociatesGroup PAC ID 2163406356, 3 clinicians
Vernose and McGrath Otolaryngology AssociatesGroup PAC ID 7517852684, 4 clinicians

Practice addresses (Care Compare)

1841 S Broad St
Phila, PA 19148-2115
Phone (215) 480-3763

188 Fries Mill Rd
Turnersville, NJ 08012-2015
Phone (856) 875-0111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
69.17 of 100Reported as group
Quality
38.33
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
69.17 of 100Reported as group
Quality
38.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD015406EPAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vernose & McGrath Otolaryngology Associates Otolaryngology CurrentSince Oct 27, 2003 Accepting new patients
Vernose & McGrath Otolaryngology Associates Otolaryngology CurrentSince Dec 4, 1978 Accepting new patients

Locations

73 N Maple Ave
Ste D
Marlton, NJ 08053
Phone (856) 401-9155

151 Fries Mill Rd
Ste 305
Turnersville, NJ 08012
Phone (856) 228-1836

188 Fries Mill Rd
Ste A2
Turnersville, NJ 08012
Phone (609) 262-8300

1841 S Broad St
Philadelphia, PA 19148
Phone (215) 465-8800

Organizations & group practices 2

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1639116775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482115",
            "telephone_number": "215-465-8800",
            "fax_number": "215-465-8814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 S BROAD ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191482115",
            "telephone_number": "215-465-8800",
            "fax_number": "215-465-8814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNOSE",
        "first_name": "GERARD",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD015406E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "075516SBC",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "115017KD4",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.