Individual provider Active NPI

Pauline Germaine, DO

  • Diagnostic Radiology Physician
  • Camden, NJ
National Provider Identifier
1700077625
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MB081882 Issued in NJ
Practice address
1 Cooper PLZ
Cooper Univeristy Radiology
Camden, NJ 08103-1461
Phone
(856) 342-2382
NPI assigned
Aug 6, 2007
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
Diagnostic Radiology Physician 2085R0202X MB081882 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ
Cooper Univeristy Radiology
Camden, NJ 08103-1461

Mailing address

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

Other identifiers 9

IdentifierTypeStateIssuer
2837091OtherNJUNITED HEALTHCARE
P00451437OtherNJRR MEDICARE
01004839502OtherNJAMERICHOICE
5024810OtherNJCIGNA
60033588OtherNJHORIZON NJ HEALTH
P3831301OtherNJOXFORD
1614371OtherNJAETNA
0143341MedicaidNJ
3422387000OtherNJAMERIHEALTH/KEYSTONE/IBC

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
I20071031000010 NJ Practitioner - Diagnostic Radiology 6103913686 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rowan University School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper University Radiology PCGroup PAC ID 6305838764, 68 clinicians

Practice addresses (Care Compare)

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2380

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.63 of 100Reported as group
Quality
80.63
Promoting interoperability
99
Improvement activities
40
Cost
40.07

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB081882NJMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper University Radiology, PC Diagnostic Radiology CurrentSince Aug 6, 2007 Accepting new patients

Locations

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

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

3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

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

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

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

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

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

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

20 S Black Horse Pike
Runnemede, NJ 08078
Phone (856) 536-1650

900 Centennial Blvd
Ste B
Voorhees, NJ 08043
Phone (856) 325-6580

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

Organizations & group practices 1

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": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1700077625",
    "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 UNIVERISTY RADIOLOGY",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERMAINE",
        "first_name": "PAULINE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "MB081882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2837091",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00451437",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "01004839502",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5024810",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60033588",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3831301",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1614371",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0143341",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "3422387000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.