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DANA SUPE MD
NPI 1679511208
Internal Medicine - Pulmonary Disease in Marlton, NJ

Active since June 04, 2006PECOS Enrolled
55.06/100
CMS Quality Rating
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B, MARLTON, NJ 08053(856) 596-9057(856) 596-0837 Get Directions Write a Review

NPPES record last updated: August 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 19, 2024, Dec 16, 2020, Dec 23, 2016 (3 updates tracked since 2016).

About Dana Supe Md NPPES

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

DANA SUPE MD (NPI 1679511208) is an individual pulmonary disease provider in Marlton, New Jersey, licensed in New Jersey (25MA06493000) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Browns Mills.

NPPES Registry Identity

NPI1679511208
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDANA SUPECredential: MD
Location AddressRENAISSANCE SQUARE, 141 ROUTE 70, SUITE BMarlton, NJ 08053
Mailing Address301 Lippincott Dr Ste 410Marlton, NJ 08053-4197 · (856) 596-9057 · Fax (856) 596-0837
Phone(856) 596-9057
Fax(856) 596-0837
Sole ProprietorNo
Enumeration DateJune 4, 2006
Last NPPES UpdateAugust 26, 20243 updates tracked since enumeration
NPPES CertifiedAugust 26, 2024
✔ NPI 1679511208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA06493000
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA06493000 (NJ)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA06493000 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 25MA06493000 (NJ)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B, Marlton, NJ 08053
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Trenton Rd, DEPT. OF SURGERYBrowns Mills, NJ 08015-1705 · Phone (609) 893-1200 ext. 4353 · Fax (609) 735-0175

Other Identifiers 1

Medicaid8780102NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dana Supe Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Dana Supe reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Virtua Medical Group, PA
0.1 mi
Urgent Care
128 ROUTE 70 STE 1
Medford, NJ 08055
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,074 clinicians in this Medicare group
NPI 1144770975 (609) 367-0900
Professional Service Fund Of Deborah Heart & Lung Center
15 mi
Specialist
200 TRENTON RD
Browns Mills, NJ 08015
  • Reassigned Medicare billing, New Jersey enrollment
  • 222 clinicians in this Medicare group
NPI 1407803596 (609) 893-1200
Route Intensivists Services LLC
32 mi
Emergency Medicine
1140 ROUTE 72 W
Manahawkin, NJ 08050
  • Reassigned Medicare billing, New Jersey enrollment
  • 20 clinicians in this Medicare group
NPI 1447718531 (954) 939-5000
Rutgers Health-Rwj Scleroderma Program
46 mi
Pulmonary Disease
125 PATERSON ST, SUITE 5200A
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 19 clinicians in this Medicare group
NPI 1275563611 (732) 235-6511

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08053 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

55.06/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality38.15
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

DR. CHRISTA FRANCES MCPHEE MD
Internal Medicine (Critical Care Medicine)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
ABHISHEK AGARWAL MD
Internal Medicine (Pulmonary Disease)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
SHANEL LAURA MCCONNER NP-BC
Nurse Practitioner (Acute Care)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
ALI M MUSTAFA
Internal Medicine (Pulmonary Disease)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
MATTHEW GORDON MD
Internal Medicine (Pulmonary Disease)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ 08053
Burlington County (856) 596-9057
JOSEPH VINCENT MORAN D.O.
Internal Medicine (Pulmonary Disease)
RENAISSANCE SQUARE, 141 ROUTE 70, SUITE B
MARLTON, NJ 08053
Burlington County (856) 596-9057

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dana Supe's NPI number?

The NPI number for Dana Supe is 1679511208. It was assigned to this individual provider in the NPPES registry on June 4, 2006.

Where is Dana Supe located?

Dana Supe practices at Renaissance Square, 141 Route 70, Suite B, Marlton, NJ 08053. The listed phone number is (856) 596-9057.

What is Dana Supe's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Dana Supe enrolled in Medicare?

Yes. Dana Supe is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Dana Supe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dana Supe reassigns Medicare benefits to 4 organizations: Virtua Medical Group, PA (Medford, NJ), Professional Service Fund Of Deborah Heart & Lung Center (Browns Mills, NJ), Route Intensivists Services LLC (Manahawkin, NJ) and Rutgers Health-Rwj Scleroderma Program (New Brunswick, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dana Supe's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dana Supe accept?

Health plans from Oscar Health list Dana Supe as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dana Supe was last updated on August 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.