Individual provider Active NPI

Andre C Gabriel, MD

  • Hospitalist Physician
  • Camden, NJ
National Provider Identifier
1043630833
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
25MA10141200 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103
Phone
(856) 342-3150
NPI assigned
Apr 21, 2014
Last updated
Apr 15, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 25MA10141200 NJ
Hospitalist Physician 208M00000X 25MA10141200 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

201 Laurel Heights Dr
Bridgeton, NJ 08302
Phone (856) 455-4800

Other practice location 2

201 Laurel Heights Dr
Bridgeton, NJ 08302
Phone (856) 455-4800

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
I20171004001247 NJ Practitioner - Internal Medicine 4688949464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-3150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10141200NJMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Physician Offices, PA Internal Medicine CurrentSince Oct 7, 2018 Accepting new patients
Community Health Care, Inc. CurrentSince Feb 24, 2023 Accepting new patients
Community Health Care, Inc. Internal Medicine CurrentSince Feb 24, 2023 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

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

1 Federal St
#200
Camden, NJ 08103

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1398038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1043630833",
    "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": "856-342-3150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Laurel Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "08302",
            "country_code": "US",
            "telephone_number": "856-455-4800",
            "fax_number": "856-451-0650",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Laurel Heights Dr",
            "address_purpose": "LOCATION",
            "city": "Bridgeton",
            "state": "NJ",
            "postal_code": "08302",
            "country_code": "US",
            "telephone_number": "856-455-4800",
            "fax_number": "856-451-0650",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "ANDRE",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-21",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10141200",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NJ",
            "license": "25MA10141200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.