Active NPI
Michael Proper, MD
- Cardiovascular Disease Physician
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MA02823900
- Practice address
- 1 Brace Rd Ste C
Cherry Hill, NJ 08034-2600 - Phone
- (856) 428-4100
- Fax
- (856) 428-5748
- NPI assigned
- Jan 31, 2006
- Last updated
- Feb 27, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA02823900 | NJ | Primary |
Addresses
Primary practice location
1 Brace Rd Ste C
Cherry Hill, NJ 08034-2600
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0879401 | Medicaid | NJ |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | NJ | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Cardiac Diagnostic Center of Southern New Jersey | Cardiovascular Disease | Past | Accepting new patients |
| Cardiovascular Associates of the Delaware Valley,P a | Cardiovascular Disease | Past | Accepting new patients |
| Lourdes Cardiology Services | Cardiovascular Disease | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
1 Brace Rd
Ste C
Cherry Hill, NJ 08034
Phone (856) 428-4100
63 Kresson Rd
Ste 101
Cherry Hill, NJ 08034
Phone (856) 428-4100
301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
101 Carnie Blvd
Voorhees, NJ 08043
Phone (856) 325-3000
120 Carnie Blvd
Voorhees, NJ 08043
Phone (609) 429-8030
120 Carnie Blvd
Ste 3
Voorhees, NJ 08043
Phone (856) 325-4360
730 N Broad St
Ste 200
Woodbury, NJ 08096
Phone (856) 251-2340
Interoperability endpoints
- mproper19764@directvirtua.org
Organizations & group practices 6
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Urgent Care Clinic/Center
- Haddon Township, NJ
- NPI 1932659778
-
- Cardiovascular Disease Physician
- Cherry Hill, NJ
- NPI 1255468922
-
- Cardiovascular Disease Physician
- Haddon Heights, NJ
- NPI 1366495632
-
- Cardiovascular Disease Physician
- Camden, NJ
- NPI 1417169772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582761600000",
"number": "1669443313",
"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": "1 BRACE RD STE C",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080342600",
"telephone_number": "856-428-4100",
"fax_number": "856-428-5748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROPER",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-31",
"last_updated": "2020-02-27",
"certification_date": "2020-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA02823900",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0879401",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
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- Jennifer S Provda
- Erin L Prunty, OT
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.