Individual provider Active NPI

Alyson Emmons, DO

  • Internal Medicine Physician
  • Voorhees, NJ
National Provider Identifier
1891733010
Registry record updated Jul 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25MB08622900 Issued in NJ
Practice address
100 Bowman Dr
Virtua Hospital
Voorhees, NJ 08043-9612
Phone
(856) 782-3300
Fax
(856) 504-8029
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MB08622900 NJ Primary

Addresses

Primary practice location

100 Bowman Dr
Virtua Hospital
Voorhees, NJ 08043-9612

Mailing address

402 Lippincott Dr
Marlton, NJ 08053-4112
Phone (856) 782-3300

Other names 1

  • Alyson Emmons-Abbruzzi Other name

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
I20091020000632 NJ Practitioner - Internal Medicine 0840377628 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021PAMDReflexologist
25MB08622900NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Choice Hospice of New Jersey, LLC CurrentSince Feb 1, 2019 Accepting new patients
Northeast Medical Practice, Limited Internal Medicine Past Accepting new patients
Life Choice Hospice of Southern Massachusetts LLC Past Accepting new patients
Temple Physicians Inc Past Accepting new patients
Aria Health Physician Services Past Accepting new patients
Temple Physician Inc. Internal Medicine Past Accepting new patients

Locations

4390 Route 130
Ste A
Willingboro, NJ 08046
Phone (267) 781-7315

10 Cadillac Dr
Ste 400
Brentwood, TN 37027
Phone (615) 637-9163

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Compassus- Greater New JerseyWillingboro, NJ, CCN 311571 Hospice Contracted Managing Employee Sep 1, 2021
Central Vermont Home Health & Hospice, IncBarre, VT, CCN 471505 Hospice W-2 Managing Employee Jan 1, 2026

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311292800000",
    "number": "1891733010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534112",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOWMAN DR",
            "address_2": "VIRTUA HOSPITAL",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439612",
            "telephone_number": "856-782-3300",
            "fax_number": "856-504-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMMONS",
        "first_name": "ALYSON",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2011-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB08622900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALYSON",
            "last_name": "EMMONS-ABBRUZZI",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.