Individual provider Active NPI

Colleen M McCleery, M.D.

  • Obstetrics & Gynecology Physician
  • Lindenwold, NJ
National Provider Identifier
1245201391
Registry record updated Nov 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA068409 Issued in NJ
Practice address
406 E Gibbsboro Rd
Lindenwold, NJ 08021-1907
Phone
(856) 435-7007
Fax
(856) 435-3866
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 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 MA068409 NJ Primary

Addresses

Primary practice location

406 E Gibbsboro Rd
Lindenwold, NJ 08021-1907

Mailing address

PO Box 536
Voorhees, NJ 08043-0536
Phone (856) 669-6050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Sep 16, 2013 through Sep 16, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MA068409NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Womens 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196208000000",
    "number": "1245201391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 536",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080430536",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E GIBBSBORO RD",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "080211907",
            "telephone_number": "856-435-7007",
            "fax_number": "856-435-3866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLEERY",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2007-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA068409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenwold, NJ

Sources for this page

Verify at the official NPI Registry.