NPIMap

Individual provider Active NPI

Adolfo E Prettelt, MD

  • Family Medicine Physician
  • Sewell, NJ
National Provider Identifier
1205989241
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA09101700 Issued in NJ
Practice address
1 Plaza Dr
Sewell, NJ 08080
Phone
(856) 270-4080
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA09101700 NJ Primary
Family Medicine Physician 207Q00000X MD064961L PA

Addresses

Primary practice location

1 Plaza Dr
Sewell, NJ 08080

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

123 Egg Harbor Rd Ste 604
Tower Commons Bldg 600
Sewell, NJ 08080-9408
Phone (856) 232-6471

Other practice location 2

123 Egg Harbor Rd Ste 604
Tower Commons Bldg 600
Sewell, NJ 08080-9408
Phone (856) 232-6471

Other identifiers 1

IdentifierTypeStateIssuer
001833485MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000083 NJ Practitioner - Family Practice 0749464527 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

1 Plaza Dr
Sewell, NJ 08080-9207
Phone (856) 270-4080

2 Plaza Dr
Sewell, NJ 08080-9207
Phone (856) 361-1754

3 Cooper PLZ
Camden, NJ 08103-1438

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 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

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine, PC Family Medicine CurrentSince Jan 30, 2013 Accepting new patients
Cooper Physician Offices, PA CurrentSince May 1, 2014 Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients
Cooper Family Medicine Family Medicine Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients

Locations

141 S Black Horse Pike
Ste 1
Blackwood, NJ 08012
Phone (856) 232-6471

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

1865 Harrison Ave
Ste 1300
Camden, NJ 08105
Phone (856) 963-0126

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

1 Federal St
#200
Camden, NJ 08103

3156 River Rd
Camden, NJ 08105
Phone (856) 356-4988

1050 Kings Hwy N
Ste 105
Cherry Hill, NJ 08034
Phone (609) 321-0303

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

110 Marter Ave
Ste 503
Moorestown, NJ 08057
Phone (856) 608-8840

3820 Church Rd
Mount Laurel, NJ 08054
Phone (856) 727-4774

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

20 S Black Horse Pike
Ste 200
Runnemede, NJ 08078
Phone (856) 962-8840

1 Plaza Dr
Ste 103
Sewell, NJ 08080
Phone (856) 270-4080

1 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4080

123 Egg Harbor Rd
Ste 604
Sewell, NJ 08080
Phone (856) 232-6471

196 Grove Ave
Ste C
West Deptford, NJ 08086
Phone (856) 818-7577

Interoperability endpoints

  • Direct secure messaging: aprettelt31954@direct.cooperhealth.edu

Organizations & group practices 8

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 9

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1205989241",
    "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 PLAZA DR",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "08080",
            "telephone_number": "856-270-4080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Egg Harbor Rd Ste 604",
            "address_2": "Tower Commons Bldg 600",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809408",
            "country_code": "US",
            "telephone_number": "856-232-6471",
            "fax_number": "856-232-7028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "123 Egg Harbor Rd Ste 604",
            "address_2": "Tower Commons Bldg 600",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080809408",
            "country_code": "US",
            "telephone_number": "856-232-6471",
            "fax_number": "856-232-7028",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRETTELT",
        "first_name": "ADOLFO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA09101700",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD064961L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001833485",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.