NPIMap

Organization Active NPI

Vernose & McGrath Otolaryngology Associates

  • Otolaryngology Physician
  • Turnersville, NJ
National Provider Identifier
1750579744
Registry record updated Mar 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
VERNOSE & MCGRATH OTOLARYNGOLOGY ASSOCIATES
Practice address
151 Fries Mill Road
Suite 305
Turnersville, NJ 08012
Phone
(856) 401-9155
Fax
(856) 401-0411
NPI assigned
Oct 4, 2007
Last updated
Mar 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2015

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

Authorized official

Name
Gerald V Vernose, M.D.
Title
Owner
Phone
(215) 465-8800

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Y00000X Primary
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0007X 25MA02962800 NJ
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207YX0007X 25MB05747500 NJ

Addresses

Primary practice location

151 Fries Mill Road
Suite 305
Turnersville, NJ 08012

Mailing address

1841 South Broad Street
Philadelphia, PA 19148
Phone (215) 465-8800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040218000011 NJ Part B Supplier - Clinic/Group Practice 7517852684 Receives reassigned benefits from 4 practitioners
Practice locations: Marlton, NJ; Turnersville, NJ

National Provider Directory

National Provider Directory

Locations

1841 S Broad St
Philadelphia, PA 19148
Phone (215) 465-8800

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426809600000",
    "number": "1750579744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 SOUTH BROAD STREET",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19148",
            "telephone_number": "215-465-8800",
            "fax_number": "267-639-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL ROAD",
            "address_2": "SUITE 305",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "08012",
            "telephone_number": "856-401-9155",
            "fax_number": "856-401-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERNOSE & MCGRATH OTOLARYNGOLOGY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2015-03-20",
        "status": "A",
        "authorized_official_last_name": "VERNOSE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-465-8800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NJ",
            "license": "25MA02962800",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "NJ",
            "license": "25MB05747500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.