Vijay K Kalola, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MA06876100 Issued in NJ

Practice address

300 S Warwick Rd
Somerdale, NJ 08083-2139

Phone

(856) 784-6666

NPI assigned

Sep 5, 2006

Last updated

Nov 9, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

HospitalistAlso: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cinnaminson Primary Care LLCGroup PAC ID 8729143045, 2 clinicians

State of New Jersey Omb Centralized PayrollGroup PAC ID 6406742592, 129 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Cinnaminson Primary Care LLC

  dba Cinnaminson Pirmary & Walk-In Care

  • Internal Medicine Physician
  • Cinnaminson, NJ
  • NPI 1154567204
  Medicare reassignment Care Compare group NPD
• State of New Jersey Omb Centralized Payroll

  • Psychiatric Hospital
  • Hammonton, NJ
  • NPI 1629155502
  Medicare reassignment Care Compare group NPD
• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment
• State of New Jersey Omb Centralized Payroll

  dba Greystone Park Psychiatric Hospital

  • Psychiatric Hospital
  • Morris Plains, NJ
  • NPI 1336221878
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1649373978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426",
            "telephone_number": "856-784-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 S WARWICK RD",
            "city": "SOMERDALE",
            "state": "NJ",
            "postal_code": "080832139",
            "telephone_number": "856-784-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALOLA",
        "first_name": "VIJAY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA06876100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holistic Behavior Collaborative LLC
• Deborah Hood, RN
• Charles James Idler, ED.D.
• Integrity Family Solutions
• Diana Neal Juelg, APN
• Shawn Patrick Kelly, D.M.D.
• Kennedy University Hospital, Inc
• Kennedy University Hospital, Inc. (Kennedy Family Health Services)
• Kennedy University Hospitals (Kennedy Family Health Services)
• David Jay Kirstein, D.C.

• Internal Medicine Physician in Somerdale, NJ
• Providers in Somerdale, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; 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.

Verify at the official NPI Registry.