Gregory Mukalian, D.O.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

25MB06369000 Issued in NJ

Practice address

1113 Hospital Dr Ste 100a
Willingboro, NJ 08046-1128

Phone

(609) 835-5821

Fax

(609) 835-5827

NPI assigned

Aug 9, 2005

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

Other identifiers 1

Electronic endpoints 1

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

General Surgery

Education

Kansas City University of Med & Biosciences, College of Osteo Med, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048
• Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
• Virtua Willingboro Hospital Hospital, Willingboro, NJ, CCN 310061
• Virtua Mount Holly Hospital Hospital, Mount Holly, NJ, CCN 310057
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Select Specialty Hospital-Willingboro Long-term care hospital, Willingboro, NJ, CCN 312022

Merit-based Incentive Payment System (MIPS)

Final score

81.15 of 100Reported as group

Quality

62.28

Promoting interoperability

100

Improvement activities

40

Cost

74.89

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gmukalian166646@directvirtua.org

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.

• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515

  Surgery

  Medicare reassignment Care Compare group NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Virtua Medical Group, PA

  • Urgent Care Clinic/Center
  • Mount Holly, NJ
  • NPI 1851841696
  NPD
• Surgical Specialists of New Jersey, LLC

  • Surgery Physician
  • Marlton, NJ
  • NPI 1851345870
  NPD (past)

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

• Acuity Specialty Hospital LLC

  • Long Term Care Hospital
  • Willingboro, NJ
  • NPI 1578543468

  Long-term care hospital

  Care Compare affiliation
• Emerest Certified Home Health Care of South Jersey LLC

  • Home Health Agency
  • Moorestown, NJ
  • NPI 1871391193
  Care Compare affiliation
• Virtua - Memorial Hospital Burlington County, Inc.

  • General Acute Care Hospital
  • Mount Holly, NJ
  • NPI 1134125016
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • Home Health Agency
  • Marlton, NJ
  • NPI 1316943004
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

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

  • General Acute Care Hospital
  • Willingboro, NJ
  • NPI 1053316844
  Care Compare affiliation

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1659372910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 HOSPITAL DR STE 100A",
            "city": "WILLINGBORO",
            "state": "NJ",
            "postal_code": "080461128",
            "telephone_number": "609-835-5821",
            "fax_number": "609-835-5827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKALIAN",
        "first_name": "GREGORY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MB06369000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7031904",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gmukalian166646@directvirtua.org",
            "affiliation": "N",
            "address_1": "1113 Hospital Dr Ste 100A",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jennifer K Morris, LCSW
• Rea Morris, MA, CCC-SLP
• Sherry Morrison, CNA
• Tarae K Morton, B.S.
• Mufaja Human Services LLC
• Sheldon Kevin Myers
• Richard Eric Naids, M.D.
• Faten K Nakhla, DDS
• Nathji Plus Inc
• National Mentor Healthcare, LLC

• Surgery Physician in Willingboro, NJ
• Providers in Willingboro, NJ by specialty
• Surgery Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.

Verify at the official NPI Registry.