Active NPI
Gita S Ponnappan, MD
- Internal Medicine Physician
- Voorhees, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA08323300
- Practice address
- 200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638 - Phone
- (856) 840-4534
- NPI assigned
- Jun 27, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 125047165 | IL | |
| Internal Medicine Physician | 207R00000X | 25MA08323300 | NJ | Primary |
Addresses
Primary practice location
200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638
Mailing address
200 Bowman Dr Ste E385
Voorhees, NJ 08043-9638
Phone (856) 840-4534
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0179159 | 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
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125047165 | IL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Internal Medicine | Current | Accepting new patients |
| Cooper Physician Offices, PA | Internal Medicine | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
303 Lippincott Dr
Marlton, NJ 08053
90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
200 Bowman Dr
Ste E385
Voorhees, NJ 08043
Phone (856) 247-7220
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
Interoperability endpoints
- gponnappan66321@direct.cooperhealth.edu
- gponnappan258698@directvirtua.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736294400000",
"number": "1699972398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 BOWMAN DR STE E385",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439638",
"telephone_number": "856-840-4534",
"fax_number": "856-762-2853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 BOWMAN DR STE E385",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080439638",
"telephone_number": "856-840-4534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONNAPPAN",
"first_name": "GITA",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2025-01-08",
"certification_date": "2025-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "125047165",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA08323300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0179159",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2025; 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.