Individual provider Active NPI

Elizabeth Ann Thompson, MD

  • Emergency Medicine Physician
  • Camden, NJ
National Provider Identifier
1023125234
Registry record updated Jul 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA07777300 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103
Phone
(856) 342-2000
NPI assigned
Aug 24, 2006
Last updated
Jul 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 25MA07777300 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Camden, NJ 08103

Mailing address

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

Other practice location 1

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 261-7046

Other practice location 2

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (609) 261-7046

Other identifiers 2

IdentifierTypeStateIssuer
G64248MedicaidNJ
25MA06780700OtherNJSTATE LICENSE

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050721000014 NJ Practitioner - Emergency Medicine 8325075435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Hahnemann University College of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Urgent Care PCGroup PAC ID 2860644234, 57 clinicians

Practice addresses (Care Compare)

2001 Route 70 E
Cherry Hill, NJ 08003-1200
Phone (856) 874-0194

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
70.58 of 100Reported as individual
Quality
52.13
Improvement activities
40
Cost
66.42

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
93.22
Promoting interoperability
99
Improvement activities
40
Cost
79.18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Urgent Care, PC CurrentSince Sep 15, 2014 Accepting new patients
Cooper Univeristy Emergency Physicians, PC Emergency Medicine CurrentSince Sep 15, 2014 Accepting new patients
Emergency Physician Services of New Jersey,Professional Association Emergency Medicine CurrentSince Jul 1, 2013 Accepting new patients
South Jersey Emergency Physicians, PA Emergency Medicine Past Accepting new patients

Locations

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

2001 Route 70 W
Cherry Hill, NJ 08002

175 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 536-1640

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1023125234",
    "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": "1 COOPER PLZ",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "609-261-7046",
            "fax_number": "609-914-6067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602038",
            "country_code": "US",
            "telephone_number": "609-261-7046",
            "fax_number": "609-914-6067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA07777300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G64248",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "25MA06780700",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.