Active NPI
Isha Marina Di Bartolo, MD
- Internal Medicine Physician
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25MA10647700
- Practice address
- 1865 Harrison Ave Ste 1300
Camden, NJ 08105 - Phone
- (856) 963-0126
- NPI assigned
- Mar 22, 2016
- Last updated
- Sep 6, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MT210552 | PA | |
| Internal Medicine Physician | 207R00000X | 25MA10647700 | NJ | Primary |
Addresses
Primary practice location
1865 Harrison Ave Ste 1300
Camden, NJ 08105
Mailing address
1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924
Other practice location 1
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2200
Other practice location 2
3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-2200
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Yale University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
504 White Horse Pike
Haddon Heights, NJ 08035-1709
Phone (856) 546-7990
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.52 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA10647700 | NJ | MD | Internal Medicine Physician |
| MT210552 | PA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooper Family Medicine, PC | Current | Accepting new patients | |
| Cooper Physician Offices, PA | Internal Medicine | Current | Accepting new patients |
| Cooper Family Medicine PC | Current | Accepting new patients | |
| Virtua Our Lady of Lourdes Hospital Inc | Past | Accepting new patients | |
| The Cooper Health System | Past | Accepting new patients |
Locations
1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920
1865 Harrison Ave
Ste 1300
Camden, NJ 08105
Phone (856) 963-0126
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
1 Federal St
#200
Camden, NJ 08103
1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616
504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990
1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800
Interoperability endpoints
- idibartolo89654@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.
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1649217175
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
- Family Medicine Physician
- Moorestown, NJ
- NPI 1093929895
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
-
dba Virtua Our Lady of Lourdes Hospital
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Pennsauken, NJ
- NPI 1275580615
-
- Home Health Agency
- Moorestown, NJ
- NPI 1366716565
-
- Home Health Agency
- Woodbury, NJ
- NPI 1710284005
-
- Home Health Agency
- Egg Harbor Township, NJ
- NPI 1790730109
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567728000000",
"number": "1205298940",
"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": "1865 HARRISON AVE STE 1300",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "08105",
"telephone_number": "856-963-0126"
}
],
"practiceLocations": [
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-662-2200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3400 Spruce St",
"address_purpose": "LOCATION",
"city": "Philadelphia",
"state": "PA",
"postal_code": "191044238",
"country_code": "US",
"telephone_number": "215-662-2200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DI BARTOLO",
"first_name": "ISHA",
"middle_name": "MARINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2019-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT210552",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "25MA10647700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.