Nicola Pemberton, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

60 245836 Issued in NY

Practice address

1000 Galloping Hill Rd
Union, NJ 07083-7989

Phone

(908) 624-9665

NPI assigned

Aug 30, 2007

Last updated

Oct 4, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Obstetrics/Gynecology

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: nicola.pemberton.1@6777.direct.athenahealth.com
• Direct secure messaging: npemberton249152@epicdirect.rwjbh.org
• Direct secure messaging: npemberton865501@ahs.direct-ci.com

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.

• The Birth Center of New Jersey, LLC

  • Birthing Clinic/Center
  • Union, NJ
  • NPI 1386158723

  Obstetrics & Gynecology

  Medicare reassignment NPD Authorized official
• Artemis OB/GYN, LLC

  • Obstetrics & Gynecology Physician
  • Union, NJ
  • NPI 1508107905
  Medicare reassignment
• The Birth Center of New Jersey

  • Birthing Clinic/Center
  • Union, NJ
  • NPI 1699521781
  NPD
• Lifeline Medical Associates, LLC

  • Obstetrics & Gynecology Physician
  • Florham Park, NJ
  • NPI 1821041617
  NPD (past)
• Sheepshead Bay Women CC

  • Specialist
  • Brooklyn, NY
  • NPI 1376540344
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1306030507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "address_2": "SUITE 100",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "908-624-9665",
            "fax_number": "908-378-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GALLOPING HILL RD",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837989",
            "telephone_number": "908-624-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "NICOLA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-30",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "60 245836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Rose Pavlick
• Pavonia Surgical Center, LLC (PRISM Surgery Center at Union)
• PDG of Union (The Apprehensive Patient)
• Lisa Pedalino
• Rachel Pekarsky, MS, CCC-SLP
• Belinda Pena
• Peng Consulting Inc
• Minzhong Peng, M.D.
• Perfect Dimensions Family Dental
• Pericles Daycare Center Inc. (Pericles Adult Day Care)

• Obstetrics & Gynecology Physician in Union, NJ
• Providers in Union, NJ by specialty
• Obstetrics & Gynecology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; 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.

Verify at the official NPI Registry.