VINELAND MEDICAL ASSOCIATES PA - NPI 1316943111 - Internal Medicine in Vineland, NJ

Q: What is Vineland Medical Associates PA's NPI number?

The NPI number for Vineland Medical Associates PA is 1316943111. It was assigned to this organization in the NPPES registry on June 27, 2005.

Q: What is Vineland Medical Associates PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

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About Vineland Medical Associates Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VINELAND MEDICAL ASSOCIATES PA (NPI 1316943111) is a healthcare organization registered as an internal medicine in Vineland, New Jersey and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through October 3, 2026 and lists Narasimhaloo Venugopal, President, as its authorized official.

NPPES Registry Identity

NPI1316943111

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameVINELAND MEDICAL ASSOCIATES PA

Location Address1100 E CHESTNUT AVEVineland, NJ 08360-5002

Mailing Address1100 E Chestnut AveVineland, NJ 08360-5002 · (856) 696-0108 · Fax (856) 691-1106

Phone(856) 696-0108

Fax(856) 691-1106

Organization SubpartNo

Authorized OfficialNarasimhaloo VenugopalPresident · (856) 696-0108

Enumeration DateJune 27, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1316943111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · 25MA06727800

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1100 E CHESTNUT AVE, Vineland, NJ 08360

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Other Identifiers 1

Medicaid8193100NJ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2119804

Vineland Medical Associates, PA · Vineland, NJ

Active · expires Oct 3, 2026

CLIA Number31D2119804

Laboratory TypePhysician Office

Certificate Effective DateOctober 4, 2024

Certificate Expiration DateOctober 3, 2026

Laboratory DirectorNarasimhaloo Venugopal

Laboratory Phone(856) 696-0108

Laboratory LocationVineland Medical Associates, PA1100 E Chestnut Ave, Vineland, NJ 08360

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NARASIMHALOO VENUGOPAL MD

Internal Medicine