Individual provider Active NPI

Jennifer C. Gobencion, CNM

  • Advanced Practice Midwife
  • Bensalem, PA
National Provider Identifier
1760849426
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
MW010841 Issued in PA
Practice address
3331 Street Rd Ste 140
Bensalem, PA 19020-2052
Phone
(215) 245-8873
NPI assigned
Jan 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 25ME00058901 NJ
Advanced Practice Midwife 367A00000X 25ME00058901 NJ
Advanced Practice Midwife 367A00000X MW010841 PA Primary

Addresses

Primary practice location

3331 Street Rd Ste 140
Bensalem, PA 19020-2052

Mailing address

40 Waverly Dr
Columbus, NJ 08022-1350
Phone (201) 669-0671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170621002493 NJ Practitioner - Certified Nurse Midwife (CNM) 0244508927 Reassigns benefits to 4 organizations
I20250120000631 PA Practitioner - Certified Nurse Midwife (CNM) 0244508927 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Mary Medical CenterGroup PAC ID 4688588064, 12 clinicians

Practice addresses (Care Compare)

3331 St Rd
Suite 140
Bensalem, PA 19020-2052
Phone (215) 245-8873

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25ME00058901NJMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary Medical Center CurrentSince Jan 15, 2025 Accepting new patients
Virtua Medical Group, PA CurrentSince May 8, 2023 Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 18, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Apr 22, 2017 Accepting new patients
Ocean Health Initiatives Inc Current Accepting new patients
Ocean Health Initiatives, Inc CurrentSince Jan 15, 2020 Accepting new patients
Virtua Medical Group, PA CurrentSince May 8, 2023 Accepting new patients
St Mary Medical Center CurrentSince Jan 15, 2025 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Trinity Health Mid-Atlantic Medical Group CurrentSince Dec 18, 2025 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Apr 22, 2017 Accepting new patients
Ocean Health Initiatives, Inc. CurrentSince Jan 15, 2020 Accepting new patients
Alliance OB GYN Consultants LLC CurrentSince Sep 1, 2025 Accepting new patients
Trinity Health Mid-Atlantic Medical Group Past Accepting new patients
Southern Jersey Family Medical Centers, Inc Past Accepting new patients
Alliance Surgery Center Past Accepting new patients

Locations

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

651 High St
Burlington City, NJ 08016
Phone (609) 386-0775

412 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 784-8410

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

101 2nd St
Lakewood, NJ 08701
Phone (732) 886-4809

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

100 Bowman Dr
Fl 3
Voorhees, NJ 08043
Phone (856) 247-3000

3331 Street Rd
Ste 140
Bensalem, PA 19020
Phone (215) 245-8873

2560 Knights Rd
Bensalem, PA 19020
Phone (215) 245-4334

1203 Langhorne Newtown Rd
Ste 336
Langhorne, PA 19047
Phone (215) 322-5042

4595 New Falls Rd
Unit A
Levittown, PA 19056
Phone (267) 587-3700

41 University Dr
Ste 300
Newtown, PA 18940
Phone (215) 710-7037

1201 Langhorne Newtown Rd
Penndel, PA 19047
Phone (215) 710-2100

2813 Cottman Ave
Philadelphia, PA 19149
Phone (215) 332-9666

178 W Street Rd
Trevose, PA 19053
Phone (215) 322-5042

Interoperability endpoints

  • Direct secure messaging: jgobencion3989401@direct.trinity-health.org

Organizations & group practices 17

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.

View all 17

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1760849426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 WAVERLY DR",
            "city": "COLUMBUS",
            "state": "NJ",
            "postal_code": "080221350",
            "telephone_number": "201-669-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 STREET RD STE 140",
            "city": "BENSALEM",
            "state": "PA",
            "postal_code": "190202052",
            "telephone_number": "215-245-8873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOBENCION",
        "first_name": "JENNIFER",
        "middle_name": "C.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-26",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "25ME00058901",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00058901",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "PA",
            "license": "MW010841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bensalem, PA

Sources for this page

Verify at the official NPI Registry.