Individual provider Active NPI

Ana Sofia Prospero, CRNP

  • Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1144566019
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00684000 Issued in NJ
Practice address
1 Cooper PLZ
Camden, NJ 08103
Phone
(800) 826-6737
NPI assigned
Dec 21, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X SPO12640 PA
Nurse Practitioner 363L00000X 26NJ00684000 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

51 N 39th St
Philadelphia, PA 19104
Phone (215) 662-9000

Other practice location 2

5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-3930

Other practice location 3

51 N 39th St
Philadelphia, PA 19104
Phone (215) 662-9000

Other practice location 4

51 N 39th St
Philadelphia, PA 19104
Phone (215) 662-9000

Other practice location 5

51 N 39th St
Philadelphia, PA 19104
Phone (215) 662-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130320000474 PA Practitioner - Nurse Practitioner 9335384445 Reassigns benefits to 1 organization
I20181002000096 NJ Practitioner - Nurse Practitioner 9335384445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, shared by 7 NPIs, 793 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-4192

1865 Route 70 E 260
Penn Cardiology Cherry Hill
Cherry Hill, NJ 08003-2013
Phone (856) 216-0300

51 N 39TH St 4 HVP
Penn Cardiology Penn Presbyterian 4TH Floor
Philadelphia, PA 19104-2640
Phone (215) 662-9189

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SPO12640PAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Oct 6, 2018 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Sep 28, 2018 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Oct 6, 2018 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
CMC Department of Medicine Group PA CurrentSince Sep 28, 2018 Accepting new patients
Clinical Health Care Associates of New Jersey PC CurrentSince Mar 10, 2020 Accepting new patients

Locations

3 Cooper Plz
Rm 318
Camden, NJ 08103
Phone (856) 342-2683

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1 Federal St
#200
Camden, NJ 08103

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

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

211 S Main St
Ste 205
Cape May Court House, NJ 08210
Phone (609) 463-0800

1210 Brace Rd
Ste 103
Cherry Hill, NJ 08034
Phone (856) 342-2034

1210 Brace Rd
Ste 100
Cherry Hill, NJ 08034
Phone (609) 429-2816

1865 Route 70 E
Ste 260
Cherry Hill, NJ 08003
Phone (215) 662-9595

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

400 Medical Center Dr
Ste B
Sewell, NJ 08080
Phone (570) 947-8229

900 Centennial Blvd
Ste 201
Voorhees, NJ 08043
Phone (856) 325-6700

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

66 East Ave
#A
Woodstown, NJ 08098
Phone (856) 624-4252

51 N 39th St
Fl 4
Philadelphia, PA 19104
Phone (215) 662-9189

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

Organizations & group practices 6

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 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": "1356048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1144566019",
    "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": "800-826-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 Old York Rd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191413018",
            "country_code": "US",
            "telephone_number": "215-456-3930",
            "fax_number": "215-456-1432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-9000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19104",
            "country_code": "US",
            "telephone_number": "215-662-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROSPERO",
        "first_name": "ANA SOFIA",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-21",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SPO12640",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00684000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.