Individual provider Active NPI

Gina Gabrielle Gambogi, CRNA

  • Certified Registered Nurse Anesthetist
  • Camden, NJ
National Provider Identifier
1639652142
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
26NJ14857400 Issued in NJ
Practice address
1 Cooper PLZ Dept of
Camden, NJ 08103-1461
Phone
(856) 342-2425
Fax
(856) 968-8326
NPI assigned
Sep 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN640226 PA
Certified Registered Nurse Anesthetist 367500000X 26NJ14857400 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ Dept of
Camden, NJ 08103-1461

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

51 N 39th St
Philadelphia, PA 19104-2640
Phone (215) 662-8244

Other practice location 2

501 Fellowship Rd Ste 102
Mount Laurel, NJ 08054-3419
Phone (856) 380-1768

Other practice location 3

900 Centennial Blvd Ste E&g
Voorhees, NJ 08043-4637
Phone (856) 325-6535

Other practice location 4

218C Sunset Rd
Willingboro, NJ 08046-1104
Phone (609) 877-0400

Other practice location 5

400 W Route 38 Dept Of
Moorestown, NJ 08057-3219
Phone (800) 826-6737

Other practice location 6

175 Madison Ave Fl 1
Mount Holly, NJ 08060-2099
Phone (609) 914-6000

Other practice location 7

218 Sunset Rd Fl 2
Willingboro, NJ 08046-1110
Phone (609) 835-2900

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ggambogi292734@directvirtua.org
Direct Messaging Address ggambogi292734@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20181217001199 PA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406191600 Reassigns benefits to 1 organization
I20231031000101 NJ Practitioner - Certified Registered Nurse Anesthetist (Crna) 6406191600 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

175 Madison Ave
Mount Holly, NJ 08060-2038
Phone (856) 247-7260

3400 Civic Ctr Blvd
Philadelphia, PA 19104-5127
Phone (215) 349-8310

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (833) 958-2198

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14857400NJMDCertified Registered Nurse Anesthetist
RN640226PAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Mar 12, 2025 Accepting new patients
Virtua Medical Group, PA Nurse Anesthetist, Certified Registered Current Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Oct 28, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Mar 12, 2025 Accepting new patients
University of Penn-Medical Group CurrentSince Oct 28, 2018 Accepting new patients
Cooper Anesthesia Associates, PC CurrentSince Oct 1, 2023 Accepting new patients

Locations

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

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

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000

501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768

900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505

218 Sunset Rd
Fl 2
Willingboro, NJ 08046
Phone (609) 444-0599

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

Interoperability endpoints

  • Direct secure messaging: ggambogi292734@directvirtua.org

Organizations & group practices 8

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 7

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": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1639652142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ DEPT OF",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2425",
            "fax_number": "856-968-8326"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "51 N 39th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191042640",
            "country_code": "US",
            "telephone_number": "215-662-8244",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Fellowship Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Mount Laurel",
            "state": "NJ",
            "postal_code": "080543419",
            "country_code": "US",
            "telephone_number": "856-380-1768",
            "fax_number": "856-380-7760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Centennial Blvd Ste E&g",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434637",
            "country_code": "US",
            "telephone_number": "856-325-6535",
            "fax_number": "856-325-6517",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218C Sunset Rd",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461104",
            "country_code": "US",
            "telephone_number": "609-877-0400",
            "fax_number": "609-589-1004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 W Route 38 Dept Of",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573219",
            "country_code": "US",
            "telephone_number": "800-826-6737",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 1",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "609-914-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "218 Sunset Rd Fl 2",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080461110",
            "country_code": "US",
            "telephone_number": "609-835-2900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBOGI",
        "first_name": "GINA",
        "middle_name": "GABRIELLE",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "PA",
            "license": "RN640226",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NJ",
            "license": "26NJ14857400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ggambogi292734@directvirtua.org",
            "affiliation": "N",
            "address_1": "175 Madison Ave Fl 1",
            "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": "ggambogi292734@directvirtua.org",
            "affiliation": "N",
            "address_1": "218 Sunset Rd Fl 2",
            "city": "Willingboro",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080461110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.