Gopika H Banker, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MB08428300 Issued in NJ

Practice address

201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424

Phone

(856) 566-5478

Fax

(856) 566-9561

NPI assigned

Jul 31, 2007

Last updated

Jun 30, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

Nephrology

Education

Rutgers New Jersey Medical School, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FKC Kennedy Voorhees Dialysis facility, Voorhees, NJ, CCN 312692
• FKC Liberty Berlin Dialysis facility, Berlin, NJ, CCN 312575
• FKC Marlton Dialysis facility, Marlton, NJ, CCN 312682
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gbanker29451@direct.acumenmd.com

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.

• Northeast Kidney Care LLC

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1023889565
  Medicare reassignment Care Compare group NPD
• Nephrology and Hypertension

  • Nephrology Physician
  • Voorhees, NJ
  • NPI 1871549808
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Fresenius Medical Care Marlton, LLC

  dba Fresenius Kidney Care Marlton

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Marlton, NJ
  • NPI 1316482946

  Dialysis facility

  Care Compare affiliation Name & address match
• Fresenius Medical Care Voorhees, LLC

  dba Fresenius Kidney Care Voorhees

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Voorhees, NJ
  • NPI 1972169621

  Dialysis facility

  Care Compare affiliation Name & address match
• Liberty Dialysis-Berlin LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Berlin, NJ
  • NPI 1578678165

  Dialysis facility

  Care Compare affiliation Name & address match
• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1649460189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARLIAMENT RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080815670",
            "telephone_number": "856-740-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAUREL OAK RD",
            "address_2": "SUITE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434424",
            "telephone_number": "856-566-5478",
            "fax_number": "856-566-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANKER",
        "first_name": "GOPIKA",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08428300",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB08428300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Bancroft, a New Jersey Nonprofit Corporation
• Nikodem Banko, MD
• Hunter Banks, LSW
• Mukta Bansal, M.D.
• Alexandra Barbarese, MS
• Bryen Barbell, D.M.D.

• Nephrology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.