Individual provider Active NPI

Pamela A Crilley, DO

  • Hematology & Oncology Physician
  • Pennington, NJ
National Provider Identifier
1538116041
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0S004378L Issued in PA
Practice address
2 Capital Way Ste 220
Pennington, NJ 08534-2523
Phone
(609) 303-0747
Fax
(609) 303-0771
NPI assigned
May 28, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 25MB11267100 NJ
Hematology & Oncology Physician 207RH0003X 0S004378L PA Primary

Addresses

Primary practice location

2 Capital Way Ste 220
Pennington, NJ 08534-2523

Mailing address

1601 Cherry St
Suite 11511
Philadelphia, PA 19102-1320
Phone (215) 255-7822

Other practice location 1

230 N Broad Street
Ms 412
Philadelphia, PA 19107
Phone (215) 762-7735

Other practice location 2

3 Penns Trl
Newtown, PA 18940-1812
Phone (609) 303-0747

Other identifiers 2

IdentifierTypeStateIssuer
1025078MedicaidPA
2353601MedicaidNJ

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
I20100723000125 PA Practitioner - Hematology/OncologyPractitioner - Medical Oncology 0244295608 Reassigns benefits to 2 organizations
I20211108000107 NJ Practitioner - Medical Oncology 0244295608 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Capital Health Medical GroupGroup PAC ID 7618264532, 442 clinicians

Practice addresses (Care Compare)

2 Capital Way
Suite 220
Pennington, NJ 08534-2523
Phone (609) 303-0747

3 Penns TRL
Newtown, PA 18940-1812
Phone (215) 504-1761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.91 of 100Reported as apm
Quality
79.42
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB11267100NJMDHematology & Oncology Physician
0S004378LPAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Health Medical Group CurrentSince Sep 27, 2021 Accepting new patients
Drexel University CurrentSince Mar 14, 2018 Accepting new patients
Drexel University Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
I. Brodsky Associates Hematology & Oncology Past Accepting new patients

Locations

3131 Princeton Pike
Bldg 5
Lawrenceville, NJ 08648
Phone (609) 844-9661

1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000

2 Capital Way
Ste 220
Pennington, NJ 08534
Phone (609) 303-0747

3 Penns Trl
Newtown, PA 18940
Phone (215) 504-1761

1427 Vine St
Fl 2
Philadelphia, PA 19102
Phone (215) 762-2530

1427 Vine St
Fl 8
Philadelphia, PA 19102
Phone (215) 762-6660

1601 Cherry St
Ste 11511
Philadelphia, PA 19102

230 N Broad St
Fl 15
Philadelphia, PA 19102
Phone (215) 762-2640

1050 Stony Hill Rd
Yardley, PA 19067
Phone (215) 504-1761

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/12833/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pamela.crilley.1@12833.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1538116041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CHERRY ST",
            "address_2": "SUITE 11511",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191021320",
            "telephone_number": "215-255-7822",
            "fax_number": "215-255-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CAPITAL WAY STE 220",
            "city": "PENNINGTON",
            "state": "NJ",
            "postal_code": "085342523",
            "telephone_number": "609-303-0747",
            "fax_number": "609-303-0771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "230 N Broad Street",
            "address_2": "MS 412",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "19107",
            "country_code": "US",
            "telephone_number": "215-762-7735",
            "fax_number": "215-762-4877",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3 Penns Trl",
            "address_purpose": "LOCATION",
            "city": "Newtown",
            "state": "PA",
            "postal_code": "189401812",
            "country_code": "US",
            "telephone_number": "609-303-0747",
            "fax_number": "609-303-0771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRILLEY",
        "first_name": "PAMELA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-28",
        "last_updated": "2023-03-07",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MB11267100",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "0S004378L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1025078",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2353601",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennington, NJ

Sources for this page

Verify at the official NPI Registry.