Rita G Borromeo, MD

Individual provider Active NPI Obstetrics & Gynecology Physician · Philadelphia, PA

NPI 1366474942 · NPPES record last updated Sep 12, 2022

Key facts

NPI
1366474942
Entity type
Individual (NPI type 1)
Primary specialty
Obstetrics & Gynecology Physician 207V00000X
License
MD435135 (PA)
Practice address
801 Spruce St
Philadelphia, PA 19107-5701
Phone
(215) 829-3396
Fax
(215) 829-3661
NPI assigned
Jul 6, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Obstetrics/Gynecology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Care Associates of the University of Pennsylvania Health. (591 clinicians)

Practice addresses (Care Compare)

800 Walnut St FL
12 OB/GYN Wash SQ 12TH
Philadelphia, PA 19107-5176
Phone (215) 829-8000

Hospital & facility affiliations

  • Pennsylvania Hospital Hospital · Philadelphia, PA · CCN 390226
  • Hospital of Univ of Pennsylvania Hospital · Philadelphia, PA · CCN 390111

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in PA, NJ
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20090114000255 PA Practitioner - Obstetrics/Gynecology 3577626738 Reassigns benefits to 1 organization
I20090827000051 NJ Practitioner - Obstetrics/Gynecology 3577626738 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA08526200NJMDObstetrics & Gynecology Physician
MD435135PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Care Associates of the University of Pennsylvania Health Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology Current
since Jul 15, 2009
Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current
since Jul 15, 2009
Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Current
since Sep 16, 2013
Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Obstetrics & Gynecology Current
since Sep 16, 2013
Accepting new patients
The Pennsylvania Hospital of the University of Pennsylvania Health Sys Past Accepting new patients
Spring Behavioral Health of New Jersey LLC Past
since Jan 10, 2018
Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

409 Route 70 E
Ste 2
Cherry Hill, NJ 08034
Phone (609) 594-4900

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

7133 Roosevelt Blvd
Philadelphia, PA 19149
Phone (215) 333-3311

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

800 Walnut St
Fl 12
Philadelphia, PA 19107

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA08526200 NJ
Obstetrics & Gynecology Physician 207V00000X MD435135 PA Yes

Addresses

Primary practice location

801 Spruce St
Philadelphia, PA 19107-5701

Mailing address

801 Spruce St
Philadelphia, PA 19107-5701
Phone (215) 829-3396

Other practice location 1

1865 Route 70 East
Suite 210
Cherry Hill, NJ 08003-2013
Phone (856) 795-0587

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 12, 2022.

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1366474942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-3396",
            "fax_number": "215-829-3661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-3396",
            "fax_number": "215-829-3661"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1865 Route 70 East",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032013",
            "country_code": "US",
            "telephone_number": "856-795-0587",
            "fax_number": "856-795-0689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BORROMEO",
        "first_name": "RITA",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA08526200",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD435135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.