Active NPI
Rachel Grencavich, CNM, MSN
- Advanced Practice Midwife
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00030701
- Practice address
- 175 Madison Ave FL 2
Mount Holly, NJ 08060-2099 - Phone
- (609) 914-6198
- Fax
- (856) 246-9565
- NPI assigned
- Jun 19, 2006
- Last updated
- Aug 7, 2024
- 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 |
|---|---|---|---|---|
| Midwife | 176B00000X | ME00030701 | NJ | |
| Advanced Practice Midwife | 367A00000X | 25ME00030701 | NJ | Primary |
Addresses
Primary practice location
175 Madison Ave FL 2
Mount Holly, NJ 08060-2099
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Other practice location 1
100 Bowman Dr Fl 1
Voorhees, NJ 08043-9612
Phone (856) 247-2645
Other practice location 2
707 White Horse Pike
Suite D4
Absecon, NJ 08201
Phone (609) 272-0506
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rgrencavich19098@directvirtua.org | ||
| Direct Messaging Address | rgrencavich19098@directvirtua.org |
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1676 E Landis Ave
Vineland, NJ 08361-2943
Phone (856) 696-6000
2500 English Creek Ave
BLDG 1000 Suite 1000 Apg Urogynecology Eht
Egg Harbor Township, NJ 08234-5562
Phone (609) 383-6400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME00030701 | NJ | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| Regional Women's Health Group, LLC | Midwife | Current | Accepting new patients |
| State of New Jersey Omb Centralized Payroll | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Community Health Care, Inc. | Midwife | Current | Accepting new patients |
| Regional Womens Health Group LLC | Midwife | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
30 N Pearl St
Bridgeton, NJ 08302
108 Mechanic St
Cape May Court House, NJ 08210
Phone (609) 463-9960
301 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-9797
2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400
6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
2110 New Rd
Ste 2
Linwood, NJ 08221
Phone (609) 383-6400
459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
312 Applegarth Rd
Ste 102
Monroe Twp, NJ 08831
Phone (732) 536-5552
175 Madison Ave
Fl 2
Mount Holly, NJ 08060
Phone (609) 914-6198
175 Madison Ave
Fl 3
Mount Holly, NJ 08060
Phone (609) 914-6198
65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414
484 S Brewster Rd
South Vineland, NJ 08361
Phone (856) 696-0300
188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023
1676 E Landis Ave
Vineland, NJ 08361
Phone (856) 696-6000
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025
Interoperability endpoints
- rachel.grencavich.p1@direct.cchn.nextgenshare.com
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
-
dba Vineland Developmental Center
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Vineland, NJ
- NPI 1588607725
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Midwife
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Voorhees, NJ
- NPI 1548215536
Midwife
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba AtlantiCare Urgent Care
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
dba Greystone Park Psychiatric Hospital
- Psychiatric Hospital
- Morris Plains, NJ
- NPI 1336221878
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
dba Axia Women's Health
- Obstetrics & Gynecology Physician
- Phoenixville, PA
- NPI 1750880118
Midwife
-
dba AtlantiCare Internal Medicine
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1023053378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE FL 2",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602099",
"telephone_number": "609-914-6198",
"fax_number": "856-246-9565"
}
],
"practiceLocations": [
{
"address_1": "100 Bowman Dr Fl 1",
"address_purpose": "LOCATION",
"city": "Voorhees",
"state": "NJ",
"postal_code": "080439612",
"country_code": "US",
"telephone_number": "856-247-2645",
"fax_number": "856-247-2905",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 White Horse Pike",
"address_2": "Suite D4",
"address_purpose": "LOCATION",
"city": "Absecon",
"state": "NJ",
"postal_code": "08201",
"country_code": "US",
"telephone_number": "609-272-0506",
"fax_number": "609-272-0607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GRENCAVICH",
"first_name": "RACHEL",
"credential": "CNM, MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "NJ",
"license": "ME00030701",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00030701",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgrencavich19098@directvirtua.org",
"affiliation": "N",
"address_1": "100 Bowman Dr Fl 1",
"city": "Voorhees",
"state": "NJ",
"country_code": "US",
"postal_code": "080439612",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rgrencavich19098@directvirtua.org",
"affiliation": "N",
"address_1": "175 Madison Ave Fl 3",
"city": "Mount Holly",
"state": "NJ",
"country_code": "US",
"postal_code": "080602099",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.