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
Hospital & facility affiliations 3
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.
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 of Univ of Pennsylvania
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA08526200 | NJ | MD | Obstetrics & Gynecology Physician |
| MD435135 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New 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 |
Accepting new patients |
| Clinical Health Care Associates of New Jersey, PC | Current |
Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current |
Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health Syst | Obstetrics & Gynecology | Current |
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 |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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": []
}
Other providers in Philadelphia, PA
- John Joseph Boron
- Tyler Jagger Borowiec
- Eileen F Borowski
- Larry M. Borowsky
- Pamela Borowsky
- Benjamin Borron
- Amanda Borson
- Joseph C Borst
- John M Boruch
- Beth Ann Boruta
All providers in Philadelphia, PA · Obstetrics & Gynecology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.