Gerardo Varallo, D.O.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

25MB07563500 Issued in NJ

Practice address

201 Laurel Oak Rd
Suite B
Voorhees, NJ 08043-4424

Phone

(856) 566-5478

Fax

(856) 566-9561

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

NephrologyAlso: Internal Medicine

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Northeast Kidney Care LLCGroup PAC ID 8921445032, 66 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• FKC Sewell Dialysis facility, Sewell, NJ, CCN 312693
• Jefferson Stratford Hospital Hospital, Stratford, NJ, CCN 310086
• Cooper University Hospital Hospital, Camden, NJ, CCN 310014
• West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
• Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gvarallo29474@direct.acumenmd.com

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.

• Northeast Kidney Care LLC

  • Internal Medicine Physician
  • Brick, NJ
  • NPI 1023889565

  Nephrology

  Medicare reassignment Care Compare group NPD
• Nephrology and Hypertension

  • Nephrology Physician
  • Voorhees, NJ
  • NPI 1871549808
  Medicare reassignment NPD

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

• Fresenius Medical Care Voorhees, LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Sewell, NJ
  • NPI 1508429267

  Dialysis facility

  Care Compare affiliation Name & address match
• Kennedy University Hospital Inc.

  • General Acute Care Hospital
  • Stratford, NJ
  • NPI 1386746592
  Care Compare affiliation
• The Cooper Health System

  • Land Ambulance
  • Camden, NJ
  • NPI 1174976724

  Hospital

  Care Compare affiliation
• The Cooper Health System

  • General Acute Care Hospital
  • Camden, NJ
  • NPI 1568442309
  Care Compare affiliation
• Virtua - West Jersey Health System, Inc.

  • General Acute Care Hospital
  • Voorhees, NJ
  • NPI 1528064409
  Care Compare affiliation
• Presbyterian Medical Center of the University of Pennsylvania Health S

  • General Acute Care Hospital
  • Philadelphia, PA
  • NPI 1245207521
  Care Compare affiliation

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351036800000",
    "number": "1821044496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LAUREL OAK RD",
            "address_2": "SUITE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434424",
            "telephone_number": "856-566-5478",
            "fax_number": "856-566-9561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 LAUREL OAK RD",
            "address_2": "SUITE B",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434424",
            "telephone_number": "856-566-5478",
            "fax_number": "856-566-9561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARALLO",
        "first_name": "GERARDO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2012-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MB07563500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0129160",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aileen Valencia, DMD
• Lorraine Valentino, MACCCSLP
• Erica Van Pelt, DDS
• Stephanie Van'T Zelfden, RDN, CDN
• Marivic Vanover, APRN-BC
• Joby Varghese, D.O.
• Mariah Vargo, MA
• Laurie Varlotta, M.D.
• Vascular Care Centers LLC
• Namrata Vashishta, MD

• Nephrology Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Nephrology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.

Verify at the official NPI Registry.