Individual provider Active NPI

Olga E. Jackson, MD

  • Obstetrics & Gynecology Physician
  • Mount Holly, NJ
National Provider Identifier
1396947792
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA09182100 Issued in NJ
Practice address
175 Madison Ave
Mount Holly, NJ 08060
Phone
(609) 914-6198
Fax
(856) 246-9565
NPI assigned
Jun 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MA09182100 NJ Primary
Obstetrics & Gynecology Physician 207V00000X MD446493 PA

Addresses

Primary practice location

175 Madison Ave
Mount Holly, NJ 08060

Mailing address

301 Lippincott Dr Ste 120
Marlton, NJ 08053-4197
Phone (856) 355-0335

Other practice location 1

2610 Federal St
Camden, NJ 08105-1936
Phone (856) 583-2400

Other practice location 2

1617 Route 38
Lumberton, NJ 08048
Phone (609) 261-0240

Other practice location 3

1600 Haddon Ave Fl 3
Camden, NJ 08103-3101
Phone (856) 757-3500

Other practice location 4

817 Federal St
Camden, NJ 08103-1539
Phone (856) 583-2400

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address ojackson14207@directvirtua.org
Direct Messaging Address ojackson14207@directvirtua.org
Direct Messaging Address ojackson14207@directvirtua.org
Direct Messaging Address ojackson14207@directvirtua.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130128000045 NJ Practitioner - Obstetrics/Gynecology 8426202599 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Boston University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
Camcare Health CorporationGroup PAC ID 2567365117, 27 clinicians

Practice addresses (Care Compare)

1600 Haddon Ave
Camden, NJ 08103-3101

2610 Federal St
Camden, NJ 08105-1936
Phone (856) 583-2400

3242 Route 206
Bordentown, NJ 08505-4517

817 Federal St
Camden, NJ 08103-1539
Phone (856) 541-3270

Merit-based Incentive Payment System (MIPS)

Final score
81.15 of 100Reported as group
Quality
62.28
Promoting interoperability
100
Improvement activities
40
Cost
74.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD446493PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation Current Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients
Virtua Medical Group, PA CurrentSince Apr 1, 2016 Accepting new patients
Camcare Health Corporation CurrentSince Oct 1, 2025 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Apr 20, 2019 Accepting new patients
Community Health Care, Inc. Obstetrics & Gynecology CurrentSince Jan 10, 2020 Accepting new patients
Camcare Health Corporation CurrentSince Oct 1, 2025 Accepting new patients
Community Health Care, Inc. CurrentSince Jan 10, 2020 Accepting new patients
Virtua Our Lady of Lourdes Hospital Inc Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

30 N Pearl St
Bridgeton, NJ 08302

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

1600 Haddon Ave
Fl 3
Camden, NJ 08103
Phone (609) 988-6260

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

1617 Route 38
Lumberton, NJ 08048
Phone (609) 261-0020

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

1315 N Delaware St
Paulsboro, NJ 08066
Phone (856) 583-2400

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

Interoperability endpoints

  • Direct secure messaging: ojackson14207@directvirtua.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1181001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1396947792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 120",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-355-0335",
            "fax_number": "856-355-0354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 MADISON AVE",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-914-6198",
            "fax_number": "856-246-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Federal St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081051936",
            "country_code": "US",
            "telephone_number": "856-583-2400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1617 Route 38",
            "address_purpose": "LOCATION",
            "city": "Lumberton",
            "state": "NJ",
            "postal_code": "08048",
            "country_code": "US",
            "telephone_number": "609-261-0240",
            "fax_number": "609-261-8622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Haddon Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033101",
            "country_code": "US",
            "telephone_number": "856-757-3500",
            "fax_number": "856-365-4088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "817 Federal St",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031539",
            "country_code": "US",
            "telephone_number": "856-583-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "OLGA",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-05",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA09182100",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD446493",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojackson14207@directvirtua.org",
            "affiliation": "N",
            "address_1": "2610 Federal St",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081051936",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojackson14207@directvirtua.org",
            "affiliation": "N",
            "address_1": "817 Federal St",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081031539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojackson14207@directvirtua.org",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "175 Madison Ave",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojackson14207@directvirtua.org",
            "affiliation": "N",
            "address_1": "1600 Haddon Ave Fl 3",
            "city": "Camden",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081033101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.