Active NPI
Inciya Rangwalla-Malickel, DO
- Hospitalist Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 25MB07764300
- Practice address
- 1 Cooper Plaza
The Cooper Hospitalist Team
Camden, NJ 08103-1438 - Phone
- (856) 342-3150
- Fax
- (856) 968-8418
- NPI assigned
- Oct 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MB077643 | NJ | |
| Hospitalist Physician | 208M00000X | 25MB07764300 | NJ | Primary |
Addresses
Primary practice location
1 Cooper Plaza
The Cooper Hospitalist Team
Camden, NJ 08103-1438
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3627197 | Other | AETNA | |
| 2371176000 | Other | AMERIHEALTH, KEYSTONE, IBC | |
| 2457199 | Other | UNITED HEALTHCARE | |
| 010006648 | Other | AMERICHOICE | |
| 3K6195 | Other | HEALTHNET | |
| 42589 | Other | UNIVERSITY HEALTHPLAN | |
| P3408632 | Other | OXFORD |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
335 Delsea Dr N
Glassboro, NJ 08028-1403
Phone 85645147002755
509 N Broad St
Woodbury, NJ 08096-1617
Phone (856) 845-0100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MB077643 | NJ | MD | Internal Medicine Physician |
| 25MB07764300 | NJ | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Cooper Physician Offices, PA | Internal Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Internal Medicine | Current | Accepting new patients |
| Inspira Medical Centers, Inc. | Past | Accepting new patients |
Locations
333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500
30 N Pearl St
Bridgeton, NJ 08302
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
1 Federal St
#200
Camden, NJ 08103
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396
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.
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Internal Medicine
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
-
- General Acute Care Hospital
- Elmer, NJ
- NPI 1255396024
-
- General Acute Care Hospital
- Mullica Hill, NJ
- NPI 1366097032
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1952491250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 FEDERAL ST # 200",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031088",
"telephone_number": "856-356-4924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 COOPER PLAZA",
"address_2": "THE COOPER HOSPITALIST TEAM",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031438",
"telephone_number": "856-342-3150",
"fax_number": "856-968-8418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANGWALLA-MALICKEL",
"first_name": "INCIYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-15",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MB077643",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "25MB07764300",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3627197",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH, KEYSTONE, IBC",
"identifier": "2371176000",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2457199",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "010006648",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "3K6195",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNIVERSITY HEALTHPLAN",
"identifier": "42589",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3408632",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.