Active NPI
Isabel Hilary Pettigrew, M.D.
- Family Medicine Physician
- Moorestown, NJ
National Provider Identifier
1023098225
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA04503100
- Practice address
- 740 Marne Hwy
Ste 206
Moorestown, NJ 08057-3126 - Phone
- (856) 234-6045
- Fax
- (856) 234-0498
- NPI assigned
- Jan 23, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25MA04503100 | NJ | Primary |
Addresses
Primary practice location
740 Marne Hwy
Ste 206
Moorestown, NJ 08057-3126
Mailing address
500 Grove St
Ste 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9200
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 60089867 | Other | NJ | HORIZON NJ HEALTH |
| 3451402 | Medicaid | NJ | |
| 1443064 | Other | NJ | CIGNA |
| 100080946302 | Other | NJ | AMERICHOICE |
| 0070964000 | Other | NJ | AMERIHEALTH |
| 8386519 | Other | NJ | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Partners in Primary Care Inc | Family Medicine | Past | Accepting new patients |
| Lourdes Medical Associates, PA | Past | Accepting new patients |
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.
-
dba Lourdes Medical Associates Surigcal Specialists
- Surgery Physician
- Moorestown, NJ
- NPI 1952645525
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1341100800000",
"number": "1023098225",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 GROVE ST",
"address_2": "STE 100",
"city": "HADDON HEIGHTS",
"state": "NJ",
"postal_code": "080351761",
"telephone_number": "856-796-9200",
"fax_number": "856-796-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 MARNE HWY",
"address_2": "STE 206",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573126",
"telephone_number": "856-234-6045",
"fax_number": "856-234-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETTIGREW",
"first_name": "ISABEL",
"middle_name": "HILARY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-23",
"last_updated": "2012-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NJ",
"license": "25MA04503100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON NJ HEALTH",
"identifier": "60089867",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3451402",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1443064",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERICHOICE",
"identifier": "100080946302",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH",
"identifier": "0070964000",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8386519",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.