Individual provider Active NPI

Ruth Hennebery

  • Obstetrics & Gynecology Physician
  • Camden, NJ
National Provider Identifier
1770087462
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MA11896700 Issued in NJ
Practice address
1 Cooper PLZ FL 6
Camden, NJ 08103-1461
Phone
(856) 342-2065
Fax
(856) 342-7023
NPI assigned
Mar 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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 25MA11896700 NJ Primary

Addresses

Primary practice location

1 Cooper PLZ FL 6
Camden, NJ 08103-1461

Mailing address

1 Federal St # 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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230714001537 NJ Practitioner - Obstetrics/Gynecology 7012272420 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Faculty OB-GYN, PCGroup PAC ID 9931090214, 41 clinicians

Practice addresses (Care Compare)

4 Plaza Dr
Suite 403
Sewell, NJ 08080-2747
Phone (856) 270-4020

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11896700NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Faculty OB-GYN, PC Obstetrics & Gynecology CurrentSince Jul 6, 2023 Accepting new patients
Cooper Obstetrical Associates, PC Obstetrics & Gynecology CurrentSince Jul 6, 2023 Accepting new patients
The Cooper Health System Past Accepting new patients
University Urogynecology Association, PC Obstetrics & Gynecology Past Accepting new patients

Locations

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

1 Cooper Plz
Fl 6
Camden, NJ 08103
Phone (856) 342-2065

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

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

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

4 Plaza Dr
Sewell, NJ 08080
Phone (856) 270-4050

4 Plaza Dr
Ste 403
Sewell, NJ 08080
Phone (856) 270-4020

Interoperability endpoints

  • Direct secure messaging: rhennebery171620@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 and National Provider Directory roles.

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": "1521417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1770087462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 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 FL 6",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-342-2065",
            "fax_number": "856-342-7023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENNEBERY",
        "first_name": "RUTH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-19",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MA11896700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.