Individual provider Active NPI

Rebecca Sara Semanoff, CRNP

  • Family Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1558639708
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP011808 Issued in PA
Practice address
2 Cooper PLZ 400 Haddon Ave
Camden, NJ 08103-1461
Phone
(856) 356-4924
NPI assigned
Dec 2, 2011
Last updated
Oct 6, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00358500 NJ
Family Nurse Practitioner 363LF0000X SP011808 PA Primary

Addresses

Primary practice location

2 Cooper PLZ 400 Haddon Ave
Camden, NJ 08103-1461

Mailing address

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone (267) 426-5546

Other practice location 1

3400 Civic Center Blvd
Philadelphia, PA 19104-5127
Phone (267) 426-5546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150323000337 NJ Practitioner - Nurse Practitioner 9830416353 Reassigns benefits to 1 organization
I20220930002156 PA Practitioner - Nurse Practitioner 9830416353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Drexel University College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper GYN Oncology Association PCGroup PAC ID 8729982475, 7 clinicians
Redeemer Cancer Care Physicians Network, LLCGroup PAC ID 6406236835, 8 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

1648 Huntingdon Pike
Meadowbrook, PA 19046-8001
Phone (215) 938-3555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.09 of 100Reported as group
Quality
92.35
Promoting interoperability
99
Improvement activities
40
Cost
75.44

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Redeemer Cancer Care Physicians Network, LLC CurrentSince Jun 16, 2022 Accepting new patients
Cooper GYN Oncology Association, PC CurrentSince Mar 2, 2015 Accepting new patients
CMC Department of Medicine Group PA Past Accepting new patients

Locations

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

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

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2380

3 Cooper Plz
Ste 301A
Camden, NJ 08103
Phone (856) 963-3963

667 Welsh Rd
Huntingdon Vy, PA 19006
Phone (267) 205-6774

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1648 Huntingdon Pike
Fl 1
Meadowbrook, PA 19046
Phone (215) 938-2040

Interoperability endpoints

  • Direct secure messaging: rsemanoff39475@direct.cooperhealth.edu

Organizations & group practices 3

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1558639708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191045127",
            "telephone_number": "267-426-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOPER PLZ 400 HADDON AVE",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-356-4924"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Civic Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191045127",
            "country_code": "US",
            "telephone_number": "267-426-5546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEMANOFF",
        "first_name": "REBECCA",
        "middle_name": "SARA",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00358500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP011808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.