Individual provider Active NPI

Colleen Elizabeth Brown, PA-C

  • Medical Physician Assistant
  • Voorhees, NJ
National Provider Identifier
1003020538
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
25MP00356900 Issued in NJ
Practice address
900 Centennial Blvd Ste H
Voorhees, NJ 08043-4637
Phone
(856) 325-6702
NPI assigned
May 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00356900 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd Ste H
Voorhees, NJ 08043-4637

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

40 Tremont St
Apt. 1
Brighton, MA 02135-2407
Phone (617) 512-9074

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170517002337 NJ Practitioner - Physician Assistant 2062513328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
Camden, NJ 08103-1438

900 Centennial Blvd
Voorhees, NJ 08043-4637

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • University of Kansas Hospital Hospital, Kansas City, KS, CCN 170040

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1888MAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Apr 1, 2017 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Apr 1, 2017 Accepting new patients

Locations

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

1 Federal St
#200
Camden, NJ 08103

1 Cooper Plz
Ste 0
Camden, NJ 08103

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

3 Cooper Plz
Rm 318
Camden, NJ 08103
Phone (856) 342-2683

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

1 Federal St
Ste SW100
Camden, NJ 08103

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1210 Brace Rd
Ste 106
Cherry Hill, NJ 08034
Phone (856) 356-4888

1210 Brace Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 342-2034

400 Medical Center Dr
Ste B
Sewell, NJ 08080
Phone (570) 947-8229

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

218 Sunset Rd
Willingboro, NJ 08046
Phone (609) 835-2900

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

66 East Ave
#A
Woodstown, NJ 08098
Phone (856) 624-4252

Interoperability endpoints

  • FHIR API: https://epicproxy.et0578.epichosted.com/FHIRProxy/api/FHIR/R4
  • Direct secure messaging: bcolleen30221@direct.cooperhealth.edu

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 4

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": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1003020538",
    "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": "900 CENTENNIAL BLVD STE H",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434637",
            "telephone_number": "856-325-6702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Tremont St",
            "address_2": "Apt. 1",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MA",
            "postal_code": "021352407",
            "country_code": "US",
            "telephone_number": "617-512-9074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "COLLEEN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00356900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.