Active NPI
Olga E. Jackson, MD
- Obstetrics & Gynecology Physician
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 25MA09182100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| MD446493 | PA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camcare Health Corporation | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Camcare Health Corporation | Current | Accepting new patients | |
| OB Hospitalist Services New Jersey, PA | Obstetrics & Gynecology | Current | Accepting new patients |
| Community Health Care, Inc. | Obstetrics & Gynecology | Current | Accepting new patients |
| Camcare Health Corporation | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1790857696
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Greenville, SC
- NPI 1801169966
NJ
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1023347242
-
- Federally Qualified Health Center (FQHC)
- Camden, NJ
- NPI 1912179953
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1235134024
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.