Individual provider Active NPI

Jocelyn A Mitchell-Williams, MD

  • Obstetrics & Gynecology Physician
  • Marlton, NJ
National Provider Identifier
1730263195
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MA68034 Issued in NJ
Practice address
127 Church Rd
Suite 200
Marlton, NJ 08053-9402
Phone
(856) 983-5691
NPI assigned
Oct 24, 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
Obstetrics & Gynecology Physician 207V00000X MA68034 NJ Primary

Addresses

Primary practice location

127 Church Rd
Suite 200
Marlton, NJ 08053-9402

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 963-6888

Other identifiers 11

IdentifierTypeStateIssuer
2635585OtherNJAETNA
2080979000OtherNJAMERIHEALTH/KEYSTONE/IBC
2115525OtherNJUNITED HEALTHCARE
2635585OtherNJPA BS HIGHMARK
010003738OtherNJAMERICHOICE
1391857OtherNJAMERIHEALTH PPO/PA BS
3K6131OtherNJHEALTHNET
7272169OtherNJCIGNA
P3196507OtherNJOXFORD
30819OtherNJUNIVERSITY HEALTH PLAN
3635169OtherNJAETNA

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
I20101217000333 NJ Practitioner - Obstetrics/Gynecology 9133317167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Rutgers New Jersey Medical School, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Faculty OB-GYN, PCGroup PAC ID 9931090214, 41 clinicians
Cooper Obstetrical Associates PCGroup PAC ID 2365349347, 13 clinicians

Practice addresses (Care Compare)

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

3 Cooper PLZ
Camden, NJ 08103-1438
Phone (856) 342-2959

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 Medicine

State licenses

LicenseStateTypeSpecialty
MA68034NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Jul 28, 2010 Accepting new patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Aug 7, 2001 Accepting new patients
Cooper Perinatology Associates, PC Past 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
Ste D623
Camden, NJ 08103

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

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

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

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

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

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

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

701 Route 73 N
Ste 7
Marlton, NJ 08053
Phone (856) 342-2959

220 Sunset Rd
Ste 2A
Willingboro, NJ 08046
Phone (609) 835-5570

Interoperability endpoints

  • Direct secure messaging: jmitchellwilliams2871@direct.cooperhealth.edu

Organizations & group practices 4

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1730263195",
    "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": "856-963-6888",
            "fax_number": "856-968-8499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CHURCH RD",
            "address_2": "SUITE 200",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539402",
            "telephone_number": "856-983-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-WILLIAMS",
        "first_name": "JOCELYN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "MA68034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2635585",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "2080979000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "2115525",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS HIGHMARK",
            "identifier": "2635585",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010003738",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO/PA BS",
            "identifier": "1391857",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3K6131",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7272169",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3196507",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "30819",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3635169",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.