Individual provider Active NPI

Jennifer A Jarecki, DO

  • Emergency Medicine Physician
  • Camden, NJ
National Provider Identifier
1639266638
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MB65945 Issued in NJ
Practice address
1 Cooper PLZ
Cooper University Emergnecy Physicians
Camden, NJ 08103-1461
Phone
(856) 342-2930
Fax
(856) 968-8272
NPI assigned
Oct 10, 2006
Last updated
Apr 25, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MB65945 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Cooper University Emergnecy Physicians
Camden, NJ 08103-1461

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433

Other identifiers 11

IdentifierTypeStateIssuer
18402OtherNJUNIVERSITY HEALTH PLAN
3551680OtherNJAETNA
60005670OtherNJHORIZON NJ HEALTH
2151162OtherNJUNITED HEALTHCARE
0644437000OtherNJAMERIHEALTH/KEYSTONE/IBC
7978405MedicaidNJ
766404OtherNJAMERIHEALTH PPO/PA BS
010006259 00OtherNJAMERICHOICE
02660108MedicaidNY
4652315OtherNJCIGNA
P3345592OtherNJOXFORD

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
I20040810000840 NJ Practitioner - Emergency Medicine 4880666841 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Rowan University School of Osteopathic Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Univeristy Emergency Physicians PCGroup PAC ID 4486627551, 63 clinicians
Cooper Urgent Care PCGroup PAC ID 2860644234, 57 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

2001 Route 70 E
Cherry Hill, NJ 08003-1200
Phone (856) 874-0194

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.47 of 100Reported as group
Quality
93.22
Promoting interoperability
99
Improvement activities
40
Cost
79.18

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
89.49
Promoting interoperability
100
Improvement activities
40
Cost
82.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB65945NJMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Urgent Care, PC CurrentSince Sep 14, 2013 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Feb 19, 2021 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Feb 19, 2021 Accepting new patients
Cooper Univeristy Emergency Physicians, PC Emergency Medicine CurrentSince May 15, 2004 Accepting new patients
Haddon Emergency Physicians LLC Emergency Medicine PastSince Aug 10, 2025 Accepting new patients
The Cooper Health System Past Accepting new patients
CMC Psychiatric Associates, PC Past Accepting new patients

Locations

318 S White Horse Pike
Audubon, NJ 08106
Phone (856) 672-6077

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 215
Camden, NJ 08103
Phone (856) 342-2439

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

800 Cooper St
Fl 4
Camden, NJ 08102
Phone (856) 342-3040

2001 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 396-6257

2001 Route 70 W
Cherry Hill, NJ 08002

175 Route 130 S
Cinnaminson, NJ 08077
Phone (856) 536-1640

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

Organizations & group practices 7

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 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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1639266638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-968-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "address_2": "COOPER UNIVERSITY EMERGNECY PHYSICIANS",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2930",
            "fax_number": "856-968-8272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARECKI",
        "first_name": "JENNIFER",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "MB65945",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "18402",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3551680",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60005670",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2151162",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "0644437000",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7978405",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO/PA BS",
            "identifier": "766404",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010006259 00",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02660108",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "4652315",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3345592",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.