NPIMap

Individual provider Active NPI

Rosanna Eang, D.O.

  • Family Medicine Physician
  • Camden, NJ
National Provider Identifier
1366857997
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MB09997100 Issued in NJ
Practice address
1865 Harrison Ave Ste 1300
Camden, NJ 08105-3660
Phone
(569) 630-1268
Fax
(856) 365-0279
NPI assigned
Jun 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MB09997100 NJ Primary

Addresses

Primary practice location

1865 Harrison Ave Ste 1300
Camden, NJ 08105-3660

Mailing address

1865 Harrison Ave Ste 1300
Camden, NJ 08105-3660
Phone (569) 630-1268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170425002358 NJ Practitioner - Family Practice 0446537658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cooper Family Medicine PCGroup PAC ID 4284530197, 117 clinicians

Practice addresses (Care Compare)

1865 Harrison Ave
Suite 1300
Camden, NJ 08105-3660
Phone (856) 963-0126

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Family Medicine, PC Family Medicine CurrentSince Oct 13, 2024 Accepting new patients
Cooper Family Medicine Family Medicine Past Accepting new patients
The Cooper Health System Past Accepting new patients
Kennedy University Hospital Inc. Past Accepting new patients
Virtua Our Lady of Lourdes Hospital Inc Past Accepting new patients

Locations

1865 Harrison Ave
Ste 1300
Camden, NJ 08105
Phone (856) 963-0126

3156 River Rd
Camden, NJ 08105
Phone (856) 356-4988

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

504 White Horse Pike
Haddon Hgts, NJ 08035
Phone (856) 546-7990

1001 Lincoln Dr W
Ste F
Marlton, NJ 08053
Phone (609) 810-1800

Interoperability endpoints

  • Direct secure messaging: reang102980@direct.cooperhealth.edu

Organizations & group practices 5

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 7

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

NPI Registry JSON

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

{
    "created_epoch": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1366857997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 HARRISON AVE STE 1300",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081053660",
            "telephone_number": "569-630-1268",
            "fax_number": "856-365-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 HARRISON AVE STE 1300",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081053660",
            "telephone_number": "569-630-1268",
            "fax_number": "856-365-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EANG",
        "first_name": "ROSANNA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB09997100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.