Individual provider Active NPI

Bernard A Pekala, M.D.

  • Obstetrics & Gynecology Physician
  • Cherry Hill, NJ
National Provider Identifier
1083684393
Registry record updated Dec 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA022318 Issued in NJ
Practice address
1305 Kings Hwy N
Cherry Hill, NJ 08034-1919
Phone
(856) 428-6451
Fax
(856) 354-9496
NPI assigned
Jan 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X MA022318 NJ Primary

Addresses

Primary practice location

1305 Kings Hwy N
Cherry Hill, NJ 08034-1919

Mailing address

1305 Kings Hwy N
Cherry Hill, NJ 08034-1919
Phone (856) 428-6451

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

State licenses

LicenseStateTypeSpecialty
MA022318NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology Past Accepting new patients
Regional Women'S Health Group, LLC Obstetrics & Gynecology 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196985600000",
    "number": "1083684393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-428-6451",
            "fax_number": "856-354-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 KINGS HWY N",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080341919",
            "telephone_number": "856-428-6451",
            "fax_number": "856-354-9496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEKALA",
        "first_name": "BERNARD",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2007-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA022318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.