Individual provider Active NPI

Carol A Renninger, PA-C

  • Physician Assistant
  • Cape May Court House, NJ
National Provider Identifier
1700862208
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
25MP00074900 Issued in NJ
Practice address
2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone
(609) 463-2183
NPI assigned
Dec 16, 2005
Last updated
Sep 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 25MP00074900 NJ Primary
Medical Physician Assistant 363AM0700X MA002636L PA
Medical Physician Assistant 363AM0700X C01976 MD
Medical Physician Assistant 363AM0700X MP000749 NJ
Medical Physician Assistant 363AM0700X C50000214 DE

Addresses

Primary practice location

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138

Mailing address

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

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110810000554 NJ Practitioner - Physician Assistant 2365611266 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians

Practice addresses (Care Compare)

1103 N Kings Hwy 203
Cherry Hill, NJ 08034
Phone (856) 321-1919

2 Stone Harbor Blvd
Cape May Court House, NJ 08210-2138
Phone (609) 463-2183

501 N Kings Hwy
Cherry Hill, NJ 08034
Phone (856) 667-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.15 of 100Reported as group
Quality
61.9
Promoting interoperability
97
Improvement activities
40
Cost
67.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
C50000214DEMDMedical Physician Assistant
C01976MDMDMedical Physician Assistant
MP000749NJMDMedical Physician Assistant
MA002636LPAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper University Hospital Cape Regional Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: crenninger184786@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 1

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": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1700862208",
    "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",
            "fax_number": "732-790-0107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 STONE HARBOR BLVD",
            "city": "CAPE MAY COURT HOUSE",
            "state": "NJ",
            "postal_code": "082102138",
            "telephone_number": "609-463-2183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNINGER",
        "first_name": "CAROL",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-16",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NJ",
            "license": "25MP00074900",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002636L",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C01976",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "MP000749",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C50000214",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape May Court House, NJ

Sources for this page

Verify at the official NPI Registry.