Individual provider Active NPI

Michael Proper, MD

  • Cardiovascular Disease Physician
  • Cherry Hill, NJ
National Provider Identifier
1669443313
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MA02823900 Issued in NJ
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0879401MedicaidNJ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040227000364 NJ Practitioner - Cardiovascular Disease (Cardiology) 5799671418 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0000000NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Current Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 1, 2020 Accepting new patients
Cardiac Diagnostic Center of Southern New Jersey Cardiovascular Disease PastSince Nov 4, 1997 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

  • Direct secure messaging: 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.

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": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.