Individual provider Active NPI

Wanda Ronner, MD

  • Obstetrics & Gynecology Physician
  • Haddonfield, NJ
National Provider Identifier
1417995077
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD042172E Issued in PA
Practice address
807 N Haddon Ave
Suite 212
Haddonfield, NJ 08033-1749
Phone
(856) 429-0400
Fax
(856) 429-8411
NPI assigned
Jun 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology Physician 207VG0400X 25MA05255300 NJ
Obstetrics & Gynecology Physician 207V00000X MD042172E PA Primary

Addresses

Primary practice location

807 N Haddon Ave
Suite 212
Haddonfield, NJ 08033-1749

Mailing address

801 Spruce St
7H Floor
Philadelphia, PA 19107-5701
Phone (215) 829-2345

Other identifiers 5

IdentifierTypeStateIssuer
0436976370OtherNJHORIZON
043697637006OtherNJCIGNA
000802236OtherPAHIGHMARK BLUE SHIELD
0828233000OtherNJAMERIHEALTH HMO
2832953OtherNJAETNA

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
I20060511000410 PA Practitioner - Obstetrics/Gynecology 2567473036 Reassigns benefits to 2 organizations
I20080319000272 NJ Practitioner - Obstetrics/Gynecology 2567473036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E
Cherry Hill, NJ 08003-2013

1865 Route 70 East 250
Cherry Hill GYN Onc
Cherry Hill, NJ 08003-2013
Phone (215) 829-8259

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 662-3318

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA05255300NJMDGynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group CurrentSince May 1, 2015 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Feb 1, 2008 Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 17, 2016 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Obstetrics & Gynecology CurrentSince Feb 1, 2008 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health CurrentSince Jan 17, 2016 Accepting new patients
University of Penn-Medical Group CurrentSince May 1, 2015 Accepting new patients
University of Penn - Medical Group Past Accepting new patients
Jefferson University Physicians Obstetrics & Gynecology Past Accepting new patients
Fertility & Gynecology Associates, P.C. Gynecology Past Accepting new patients
Clinical Care Associates of the University of Pennsylvania Health Syst Obstetrics & Gynecology Past Accepting new patients

Locations

1865 Route 70 E
Ste 250
Cherry Hill, NJ 08003
Phone (856) 429-0400

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

807 N Haddon Ave
Ste 212
Haddonfield, NJ 08033
Phone (856) 427-4143

110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

800 Walnut St
Fl 11
Philadelphia, PA 19107
Phone (215) 573-8886

800 Walnut St
Fl 10
Philadelphia, PA 19107
Phone (215) 829-2345

801 Spruce St
#7H
Philadelphia, PA 19107

700 Spruce St
Ste 200
Philadelphia, PA 19106
Phone (215) 829-3525

801 Spruce St
Philadelphia, PA 19107
Phone (215) 829-3396

801 Spruce St
Bldg 7TH
Philadelphia, PA 19107
Phone (215) 662-6035

801 Spruce St
Fl 8
Philadelphia, PA 19107
Phone (215) 829-2345

3400 Civic Center Blvd
Fl 3
Philadelphia, PA 19104
Phone (215) 614-4100

800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867

777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775

Organizations & group practices 11

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 6

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": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350950400000",
    "number": "1417995077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SPRUCE ST",
            "address_2": "7H FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075701",
            "telephone_number": "215-829-2345",
            "fax_number": "215-829-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 N HADDON AVE",
            "address_2": "SUITE 212",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080331749",
            "telephone_number": "856-429-0400",
            "fax_number": "856-429-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONNER",
        "first_name": "WANDA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NJ",
            "license": "25MA05255300",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "MD042172E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON",
            "identifier": "0436976370",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "043697637006",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "000802236",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "0828233000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2832953",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.