Individual provider Active NPI

Rachel Grencavich, CNM, MSN

  • Advanced Practice Midwife
  • Mount Holly, NJ
National Provider Identifier
1023053378
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00030701 Issued in NJ
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000727 NJ Practitioner - Certified Nurse Midwife (CNM) 9234169962 Reassigns benefits to 5 organizations

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
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

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

LicenseStateTypeSpecialty
ME00030701NJMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Oct 23, 2022 Accepting new patients
Atlanticare Physician Group PA CurrentSince Oct 23, 2022 Accepting new patients
Community Health Care, Inc. CurrentSince Sep 3, 2019 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jul 1, 2022 Accepting new patients
Regional Women's Health Group, LLC Midwife CurrentSince Aug 1, 2017 Accepting new patients
State of New Jersey Omb Centralized Payroll CurrentSince Jul 1, 2022 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2017 Accepting new patients
Community Health Care, Inc. Midwife CurrentSince Sep 3, 2019 Accepting new patients
Regional Womens Health Group LLC Midwife CurrentSince Aug 1, 2017 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2017 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.