Individual provider Active NPI

Nimali Weerasooriya, MD

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
National Provider Identifier
1952896540
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MY215870 Issued in PA
Practice address
1010 Haddonfield Berlin Rd Ste 400
Voorhees, NJ 08043-3514
Phone
(856) 435-7007
Fax
(856) 435-4372
NPI assigned
Jun 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MY215870 PA Primary

Addresses

Primary practice location

1010 Haddonfield Berlin Rd Ste 400
Voorhees, NJ 08043-3514

Mailing address

PO Box 22573
New York, NY 10087-2573
Phone (856) 669-6050

Other practice location 1

245 N 15th St # MS 495
Philadelphia, PA 19102-1101
Phone (215) 762-8220

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
I20220630001794 NJ Practitioner - Obstetrics/Gynecology 3072841238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

1010 Haddonfield Berlin Rd
Suite 400
Voorhees, NJ 08043-3514
Phone (856) 435-7007

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MY215870PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens Health Group LLC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology CurrentSince Aug 1, 2022 Accepting new patients

Locations

247 Hurffville Crosskeys Rd
Ste 2
Sewell, NJ 08080
Phone (856) 262-8300

247 Hurffville Crosskeys Rd
Ste 1-C
Sewell, NJ 08080
Phone (856) 262-8300

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

1010 Haddonfield Berlin Rd
Ste 400
Voorhees, NJ 08043
Phone (856) 435-7007

Organizations & group practices 2

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 1

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1952896540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22573",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872573",
            "telephone_number": "856-669-6050",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HADDONFIELD BERLIN RD STE 400",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433514",
            "telephone_number": "856-435-7007",
            "fax_number": "856-435-4372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 N 15th St # MS 495",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021101",
            "country_code": "US",
            "telephone_number": "215-762-8220",
            "fax_number": "215-762-1470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEERASOORIYA",
        "first_name": "NIMALI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-26",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MY215870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.