Individual provider Active NPI

Whitney Jolitz, D.O.

  • Gynecology Physician
  • Stratford, NJ
National Provider Identifier
1407269053
Registry record updated Dec 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
OS019373 Issued in PA
Practice address
42 E Laurel Rd
Suite 2600
Stratford, NJ 08084-1354
Phone
(185) 656-6709
NPI assigned
Jun 10, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X OS019373 PA Primary

Addresses

Primary practice location

42 E Laurel Rd
Suite 2600
Stratford, NJ 08084-1354

Mailing address

1350 Edgmont Ave Ste 1500
Chester, PA 19013-3962
Phone (610) 619-8281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180924001201 PA Practitioner - Obstetrics/Gynecology 0648521187 Reassigns benefits to 1 organization
I20230519002947 NJ Practitioner - Obstetrics/Gynecology 0648521187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

165 Princeton Ave
West Deptford, NJ 08096-3123
Phone (844) 542-2273

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Jun 1, 2023 Accepting new patients
Prospect Health Access Network, Inc. Current Accepting new patients
Kennedy Medical Group Practice, P.C. Current Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Jun 1, 2023 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

445 Hurffville Crosskeys Rd
Ste A
Sewell, NJ 08080
Phone (856) 557-5573

205 E Laurel Rd
Stratford, NJ 08084
Phone (856) 344-7360

151 Fries Mill Rd
Ste 301
Turnersville, NJ 08012
Phone (856) 374-1881

165 Princeton Ave
West Deptford, NJ 08096
Phone (856) 384-0210

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 8

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 1

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546214400000",
    "number": "1407269053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 EDGMONT AVE STE 1500",
            "city": "CHESTER",
            "state": "PA",
            "postal_code": "190133962",
            "telephone_number": "610-619-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 E LAUREL RD",
            "address_2": "SUITE 2600",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "080841354",
            "telephone_number": "185-656-6709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLITZ",
        "first_name": "WHITNEY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2018-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": "OS019373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, NJ

Sources for this page

Verify at the official NPI Registry.