Individual provider Active NPI

Nicole Rogers, CNM

  • Advanced Practice Midwife
  • Voorhees, NJ
National Provider Identifier
1447859186
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00070801 Issued in NJ
Practice address
100 Bowman Dr FL 1
Voorhees, NJ 08043-9612
Phone
(856) 247-2645
NPI assigned
Oct 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00070801 NJ Primary

Addresses

Primary practice location

100 Bowman Dr FL 1
Voorhees, NJ 08043-9612

Mailing address

PO Box 22581
New York, NY 10087-2581
Phone (610) 482-4795

Other practice location 1

188 Fries Mill Rd Ste B1
Turnersville, NJ 08012-2015
Phone (856) 629-1400

Other practice location 2

777 S White Horse Pike Ste A1
Hammonton, NJ 08037-2029
Phone (609) 561-6660

Other practice location 3

150 Century Pkwy Ste A
Mount Laurel, NJ 08054-1129
Phone (856) 778-4700

Other practice location 4

175 Madison Ave Fl 3
Mount Holly, NJ 08060-2099
Phone (609) 914-6782

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address nrogers25447@directvirtua.org
Direct Messaging Address nrogers25447@directvirtua.org
Direct Messaging Address nrogers25447@directvirtua.org
Direct Messaging Address nicole.rogers@axia.eclinicaldirectplus.com Direct
Direct Messaging Address nrogers25447@directvirtua.org
Direct Messaging Address nrogers25447@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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210121001168 NJ Practitioner - Certified Nurse Midwife (CNM) 5193139863 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

150 Century Pkwy
Suite a
Mount Laurel, NJ 08054-1129
Phone (856) 778-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 1, 2021 Accepting new patients
Regional Womens Health Group LLC Midwife CurrentSince Jun 28, 2021 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Regional Women's Health Group, LLC Midwife CurrentSince Jun 28, 2021 Accepting new patients
Virtua Medical Group, PA CurrentSince Feb 1, 2021 Accepting new patients

Locations

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

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

777 S White Horse Pike
Ste A1
Hammonton, NJ 08037
Phone (609) 561-6660

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

301 Lippincott Dr
Ste 120
Marlton, NJ 08053
Phone (856) 355-0333

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

175 Madison Ave
Fl 3
Mount Holly, NJ 08060
Phone (609) 914-6198

175 Madison Ave
Fl 2
Mount Holly, NJ 08060
Phone (609) 914-6198

150 Century Pkwy
Ste A
Mount Laurel, NJ 08054
Phone (856) 778-4700

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

188 Fries Mill Rd
Ste B1
Turnersville, NJ 08012
Phone (856) 629-1400

100 Bowman Dr
Fl 3
Voorhees, NJ 08043
Phone (856) 247-3000

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645

Interoperability endpoints

  • Direct secure messaging: nicole.rogers@axia.eclinicaldirectplus.com

Organizations & group practices 5

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": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1447859186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22581",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100872581",
            "telephone_number": "610-482-4795",
            "fax_number": "856-528-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BOWMAN DR FL 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439612",
            "telephone_number": "856-247-2645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "188 Fries Mill Rd Ste B1",
            "address_purpose": "LOCATION",
            "city": "Turnersville",
            "state": "NJ",
            "postal_code": "080122015",
            "country_code": "US",
            "telephone_number": "856-629-1400",
            "fax_number": "856-629-6695",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 S White Horse Pike Ste A1",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080372029",
            "country_code": "US",
            "telephone_number": "609-561-6660",
            "fax_number": "609-561-6309",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "150 Century Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080541129",
            "country_code": "US",
            "telephone_number": "856-778-4700",
            "fax_number": "856-778-1154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "609-914-6782",
            "fax_number": "856-246-9565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "NICOLE",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00070801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrogers25447@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 3",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrogers25447@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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrogers25447@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 1",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nicole.rogers@axia.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "150 Century Pkwy Ste A",
            "city": "Mount Laurel",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080541129",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrogers25447@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 2",
            "city": "Mount Holly",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080602099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nrogers25447@directvirtua.org",
            "affiliation": "N",
            "address_1": "100 Bowman Dr Fl 3",
            "city": "Voorhees",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080439612",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.