Individual provider Active NPI

Deborah Lee Klanchar

  • Primary Care Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1437678596
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00765100 Issued in NJ
Practice address
3 Cooper PLZ RM 411
Camden, NJ 08103-1438
Phone
(856) 342-3250
NPI assigned
Sep 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 26NR13517200 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00765100 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ RM 411
Camden, NJ 08103-1438

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924

Other practice location 1

6015 Main Street Complex
901 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 342-3113

Other practice location 2

437 Labrador Trl
Mullica Hill, NJ 08062-3219
Phone (856) 223-1340

Other identifiers 2

IdentifierTypeStateIssuer
26NR13517200OtherNJSTAT OF NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS
RN609518OtherPACOMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181127001326 NJ Practitioner - Nurse Practitioner 1052655347 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

3 Cooper PLZ
Camden, NJ 08103-1438

303 Central Ave
Egg Harbor Township, NJ 08234-8353
Phone (856) 632-2667

6200 Main St
Voorhees, NJ 08043-4629
Phone (856) 325-6516

6200 Plazza at Main St
Voorhees, NJ 08043-4629
Phone (856) 489-7726

6225 Main St
Voorhees, NJ 08043-4629
Phone (856) 325-6674

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

Merit-based Incentive Payment System (MIPS)

Final score
85.23 of 100Reported as group
Quality
77.64
Promoting interoperability
98
Improvement activities
40
Cost
68.41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NR13517200NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA CurrentSince Nov 30, 2018 Accepting new patients
Hospice at Lsmnj, Inc. CurrentSince Jun 5, 2025 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Nov 30, 2018 Accepting new patients
Cooper University Trauma Physicians, PC CurrentSince Feb 20, 2024 Accepting new patients

Locations

3 Manhattan Dr
Burlington, NJ 08016
Phone (609) 386-7171

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Ste 104A
Camden, NJ 08103
Phone (856) 546-8525

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

2 Cooper Plz
Ste 100
Camden, NJ 08103

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

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

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

6712 Washington Ave
Ste 302
Egg Harbor Township, NJ 08234
Phone (609) 380-4302

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

501 Fellowship Rd
Ste 101
Mount Laurel, NJ 08054
Phone (856) 963-3572

2 Plaza Dr
Ste 202
Sewell, NJ 08080
Phone (856) 270-4100

6015 Main St
#901
Voorhees, NJ 08043

6015 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

900 Centennial Blvd
Ste 203
Voorhees, NJ 08043
Phone (856) 325-6674

6200 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Interoperability endpoints

  • Direct secure messaging: dklanchar4396@direct.cooperhealth.edu

Organizations & group practices 4

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 3

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": "1505088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1437678596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ RM 411",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-3250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6015 Main Street Complex",
            "address_2": "901 Centennial Blvd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "08043",
            "country_code": "US",
            "telephone_number": "856-342-3113",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "437 Labrador Trl",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080623219",
            "country_code": "US",
            "telephone_number": "856-223-1340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLANCHAR",
        "first_name": "DEBORAH",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-11",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NR13517200",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00765100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STAT OF NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUMER AFFAIRS",
            "identifier": "26NR13517200",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE",
            "identifier": "RN609518",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.