NPIMap

Individual provider Active NPI

Vijay Krishna Sandilya, M.D.

  • Hematology & Oncology Physician
  • Egg Harbor TWP, NJ
National Provider Identifier
1801118906
Registry record updated Mar 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD439106 Issued in PA
Practice address
2500 English Creek Ave Ste 400
Egg Harbor TWP, NJ 08234-5598
Phone
(609) 677-7777
Fax
(609) 677-7727
NPI assigned
Feb 17, 2010
Last updated
Mar 24, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD439106 PA Primary

Addresses

Primary practice location

2500 English Creek Ave Ste 400
Egg Harbor TWP, NJ 08234-5598

Mailing address

1505 W Sherman Ave
Ste 101
Vineland, NJ 08360-7059
Phone (856) 696-9550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140219001266 NJ Practitioner - Hematology/OncologyPractitioner - Internal Medicine 4587788112 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shore Memorial HospitalGroup PAC ID 1052493202, 18 clinicians
Southern Oncology Hematology AssocGroup PAC ID 2163435124, 6 clinicians

Practice addresses (Care Compare)

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3500

1505 W Sherman Ave
Suite 101
Vineland, NJ 08360-7059
Phone (856) 696-9550

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.06 of 100Reported as group
Quality
89.07
Improvement activities
40
Cost
87.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD439106PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Oncology Hematology Assoc Hematology & Oncology CurrentSince May 1, 2017 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 7, 2018 Accepting new patients
Community Health Care, Inc. CurrentSince Mar 7, 2018 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

715 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

100 Medical Center Way
Somers Point, NJ 08244
Phone (609) 272-0506

1505 W Sherman Ave
#101
Vineland, NJ 08360
Phone (856) 696-9550

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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

NPI Registry JSON

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

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490313600000",
    "number": "1801118906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1505 W SHERMAN AVE",
            "address_2": "STE 101",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607059",
            "telephone_number": "856-696-9550",
            "fax_number": "856-696-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE STE 400",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345598",
            "telephone_number": "609-677-7777",
            "fax_number": "609-677-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDILYA",
        "first_name": "VIJAY",
        "middle_name": "KRISHNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-17",
        "last_updated": "2017-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD439106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor TWP, NJ

Sources for this page

Verify at the official NPI Registry.