Active NPI
Alissa Brotman-O'Neill, D.O.
- Vascular Surgery Physician
- Stratford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 25MBO8180500
- Practice address
- 42 E Laurel Rd Ste 1300-a
Stratford, NJ 08084-1354 - Phone
- (856) 566-2710
- Fax
- (856) 256-5772
- NPI assigned
- May 28, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 25MBO8180500 | NJ | Primary |
| Surgery Physician | 208600000X | 25MBO8180500 | NJ |
Addresses
Primary practice location
42 E Laurel Rd Ste 1300-a
Stratford, NJ 08084-1354
Mailing address
42 E Laurel Rd Ste 1300-a
Stratford, NJ 08084-1354
Phone (856) 566-2710
Other practice location 1
100 Century Pkwy Ste 140A
Mount Laurel, NJ 08054-1149
Phone (856) 566-2710
Other names 1
- Dr. Alissa Oneill
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | aoneill213552@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Vascular Surgery
- Education
- Rowan University School of Osteopathic Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Century Pkwy
Mount Laurel, NJ 08054-1149
3242 Route 206
Bordentown, NJ 08505-4517
42 E Laurel Rd
Stratford, NJ 08084-1354
Hospital & facility affiliations
- West Jersey Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MBO8180500 | NJ | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Surgery | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Charles L. Dietzek | Vascular Surgery | Past | Accepting new patients |
| Charles L Dietzek, DO, Facos, PC | Vascular Surgery | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
100 Century Pkwy
Ste 140A
Mount Laurel, NJ 08054
Phone (856) 566-2710
Interoperability endpoints
- aoneill213552@directvirtua.org
- abrotmanoneill425010@direct.ahsys.org
Organizations & group practices 5
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.
-
- Surgery Physician
- North Brunswick, NJ
- NPI 1568437275
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Vascular Surgery Physician
- Voorhees, NJ
- NPI 1306905658
-
- Vascular Surgery Physician
- Sewell, NJ
- NPI 1861545188
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211932800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733184000000",
"number": "1649438540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 1300-A",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-2710",
"fax_number": "856-256-5772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 E LAUREL RD STE 1300-A",
"city": "STRATFORD",
"state": "NJ",
"postal_code": "080841354",
"telephone_number": "856-566-2710",
"fax_number": "856-256-5772"
}
],
"practiceLocations": [
{
"address_1": "100 Century Pkwy Ste 140A",
"address_purpose": "LOCATION",
"city": "Mount Laurel",
"state": "NJ",
"postal_code": "080541149",
"country_code": "US",
"telephone_number": "856-566-2710",
"fax_number": "856-566-2755",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BROTMAN-O'NEILL",
"first_name": "ALISSA",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-28",
"last_updated": "2024-12-03",
"certification_date": "2024-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NJ",
"license": "25MBO8180500",
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NJ",
"license": "25MBO8180500",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "aoneill213552@directvirtua.org",
"affiliation": "N",
"address_1": "42 E Laurel Rd Ste 1300-A",
"city": "Stratford",
"state": "NJ",
"country_code": "US",
"postal_code": "080841354",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "ALISSA",
"last_name": "ONEILL",
"prefix": "DR.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Stratford, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; 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.