Individual provider Active NPI

Carolyn Michelle Ross, M.D.

  • Obstetrics & Gynecology Physician
  • Burlington Township, NJ
National Provider Identifier
1144596156
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA10357100 Issued in NJ
Practice address
1900 Burlington Mount Holly Rd Ste D
Burlington Township, NJ 08016-4722
Phone
(609) 835-5570
NPI assigned
Mar 25, 2012
Last updated
May 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036140308 IL
Obstetrics & Gynecology Physician 207V00000X 25MA10357100 NJ Primary

Addresses

Primary practice location

1900 Burlington Mount Holly Rd Ste D
Burlington Township, NJ 08016-4722

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924

Other practice location 1

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2000

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
I20180912000008 NJ Practitioner - Obstetrics/Gynecology 9931491925 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Jefferson Medical College of Thomas Jefferson University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Faculty OB-GYN, PCGroup PAC ID 9931090214, 41 clinicians
Cooper Obstetrical Associates PCGroup PAC ID 2365349347, 13 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461

1103 N Kings Hwy
Cherry Hill, NJ 08034-1983
Phone (609) 321-1800

1900 Mount Holly Rd
Burlington, NJ 08016-4722
Phone (609) 835-5570

3 Cooper PLZ
Camden, NJ 08103-1438
Phone (856) 342-2959

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
97.94
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA10357100NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Aug 13, 2018 Accepting new patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Aug 13, 2018 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients
The Cooper Health System Past Accepting new patients
Cooper GYN Oncology Association, PC Past Accepting new patients

Locations

1900 Mount Holly Rd
Burlington, NJ 08016
Phone (609) 387-0325

1900 Mount Holly Rd
Ste D
Burlington Township, NJ 08016
Phone (609) 614-7495

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

1 Cooper Plz
#D627
Camden, NJ 08103

1 Cooper Plz
#L
Camden, NJ 08103
Phone (856) 342-2065

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

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

Interoperability endpoints

  • Direct secure messaging: cross78164@direct.cooperhealth.edu

Organizations & group practices 5

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 2

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": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1144596156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 BURLINGTON MOUNT HOLLY RD STE D",
            "city": "BURLINGTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "080164722",
            "telephone_number": "609-835-5570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08103",
            "country_code": "US",
            "telephone_number": "856-342-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROSS",
        "first_name": "CAROLYN",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036140308",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA10357100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington Township, NJ

Sources for this page

Verify at the official NPI Registry.