Individual provider Active NPI

Carl A Vitola, D.O.

  • Family Medicine Physician
  • Turnersville, NJ
National Provider Identifier
1922021138
Registry record updated Dec 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB03630600 Issued in NJ
Practice address
151 Fries Mill Rd Ste 102&103
Turnersville, NJ 08012-2016
Phone
(856) 536-1515
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB36306 NJ
Family Medicine Physician 207Q00000X 25MB03630600 NJ Primary

Addresses

Primary practice location

151 Fries Mill Rd Ste 102&103
Turnersville, NJ 08012-2016

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

900 Route 168
Suite C3
Turnersville, NJ 08012-3233
Phone (856) 374-0430

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
I20110203000863 NJ Practitioner - Family Practice 5597945832 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Care Alliance, PCGroup PAC ID 5890110563, 118 clinicians

Practice addresses (Care Compare)

151 Fries Mill Rd
Turnersville, NJ 08012-2016
Phone (856) 536-1515

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB03630600NJMDFamily Medicine Physician
MB36306NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Irish Medical Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Cooper Care Alliance, PC CurrentSince Mar 6, 2023 Accepting new patients
GT Urgent Care PC CurrentSince Aug 1, 2016 Accepting new patients
Family Physicians at Burlington Family Medicine PastSince Dec 3, 2023 Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

1816 Route 541
Ste 102
Burlington, NJ 08016
Phone (609) 747-0870

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

2001 College Dr
Ste 11
Clementon, NJ 08021
Phone (856) 566-3333

901 Route 168
Ste 210
Turnersville, NJ 08012
Phone (856) 227-1221

151 Fries Mill Rd
Ste 400
Turnersville, NJ 08012
Phone (856) 374-5802

151 Fries Mill Rd
Ste 102103
Turnersville, NJ 08012

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

Interoperability endpoints

  • Direct secure messaging: cvitola33903@direct.cooperhealth.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701475200000",
    "number": "1922021138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 FRIES MILL RD STE 102&103",
            "city": "TURNERSVILLE",
            "state": "NJ",
            "postal_code": "080122016",
            "telephone_number": "856-536-1515"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Route 168",
            "address_2": "Suite C3",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080123233",
            "country_code": "US",
            "telephone_number": "856-374-0430",
            "fax_number": "856-374-0048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITOLA",
        "first_name": "CARL",
        "middle_name": "A",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2023-12-02",
        "certification_date": "2023-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB36306",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB03630600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Turnersville, NJ

Sources for this page

Verify at the official NPI Registry.