Individual provider Active NPI

Jacqueline Verbaro

  • Physician Assistant
  • Camden, NJ
National Provider Identifier
1033612569
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1600 Haddon Ave
Camden, NJ 08103
Phone
(865) 757-3500
NPI assigned
Mar 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NJ Primary

Addresses

Primary practice location

1600 Haddon Ave
Camden, NJ 08103

Mailing address

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 757-3500

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
I20180411000282 NJ Practitioner - Physician Assistant 7416210109 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Drexel University College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Jersey Urgent CareGroup PAC ID 7618114323, 78 clinicians
Haddon Emergency Physicians LLCGroup PAC ID 4082514229, 21 clinicians

Practice addresses (Care Compare)

101 Route 73 S
Marlton, NJ 08053-4151
Phone (856) 452-8027

1600 Haddon Ave
Camden, NJ 08103-3101
Phone (954) 939-5000

731 Hwy 35
Unit G
Ocean, NJ 07712-4767
Phone (732) 455-8444

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Jersey Urgent Care CurrentSince Jan 17, 2023 Accepting new patients
Central Jersey Urgent Care CurrentSince Jan 17, 2023 Accepting new patients

Locations

298 Applegarth Rd
Ste B
Monroe Township, NJ 08831
Phone (609) 409-0600

731 State Route 35
Unit G
Ocean, NJ 07712
Phone (732) 455-8444

Organizations & group practices 3

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 1

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": "1520726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1033612569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081033101",
            "telephone_number": "856-757-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "865-757-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERBARO",
        "first_name": "JACQUELINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.