Active NPI
Rebecca Willgruber, CRNP, CPNP-PC
- Pediatric Nurse Practitioner
- Egg Harbor Township, NJ
National Provider Identifier
1366319618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 26NJ15519500
- Practice address
- 3069 English Creek Ave Ste 302
Egg Harbor Township, NJ 08234-9708 - Phone
- (609) 383-3800
- Fax
- (609) 383-3839
- NPI assigned
- Oct 21, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 26NJ15519500 | NJ | Primary |
Addresses
Primary practice location
3069 English Creek Ave Ste 302
Egg Harbor Township, NJ 08234-9708
Mailing address
611 Coates LN
King of Prussia, PA 19406-2556
Phone (610) 952-7906
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ15519500 | NJ | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771286400000",
"number": "1366319618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 COATES LN",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194062556",
"telephone_number": "610-952-7906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3069 ENGLISH CREEK AVE STE 302",
"city": "EGG HARBOR TOWNSHIP",
"state": "NJ",
"postal_code": "082349708",
"telephone_number": "609-383-3800",
"fax_number": "609-383-3839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLGRUBER",
"first_name": "REBECCA",
"credential": "CRNP, CPNP-PC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-10-21",
"last_updated": "2026-02-17",
"certification_date": "2026-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NJ",
"license": "26NJ15519500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.