Individual provider Active NPI

Paula A Bruckler, D.O.

  • Obstetrics & Gynecology Physician
  • Camden, NJ
National Provider Identifier
1619336047
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09779200 Issued in NJ
Practice address
3 Cooper PLZ
Suite 220
Camden, NJ 08103-1438
Phone
(856) 342-2000
NPI assigned
Feb 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25MB09779200 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ
Suite 220
Camden, NJ 08103-1438

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170815000194 NJ Practitioner - Obstetrics/Gynecology 5395017131 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rowan University School of Osteopathic Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Faculty OB-GYN, PCGroup PAC ID 9931090214, 41 clinicians

Practice addresses (Care Compare)

1103 N Kings Hwy
Cherry Hill, NJ 08034-1983
Phone (609) 321-1800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
97.94
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09779200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Jul 1, 2017 Accepting new patients
The Cooper Health System Past Accepting new patients
Cooper GYN Oncology Association, PC PastSince Mar 6, 2010 Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients

Locations

1900 Mount Holly Rd
Burlington, NJ 08016
Phone (609) 387-0325

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

3 Cooper Plz
Rm 220
Camden, NJ 08103
Phone (856) 342-2228

1 Cooper Plz
#L
Camden, NJ 08103
Phone (856) 342-2065

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

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

1 Cooper Plz
#D627
Camden, NJ 08103

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

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

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

1103 Kings Hwy N
Ste 201
Cherry Hill, NJ 08034
Phone (856) 321-1800

127 Church Rd
Ste 200
Marlton, NJ 08053
Phone (646) 245-8253

4 Plaza Dr
Ste 403
Sewell, NJ 08080
Phone (856) 270-4020

4 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4050

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

Interoperability endpoints

  • Direct secure messaging: pbruckler34524@direct.cooperhealth.edu

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.

Hospital & facility affiliations 2

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": "1455321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1619336047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 220",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUCKLER",
        "first_name": "PAULA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-13",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09779200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.