Active NPI
Julia Pennisi, CRNA
- Certified Registered Nurse Anesthetist
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 26NJ00209400
- Practice address
- 1 Cooper PLZ Dept of
Camden, NJ 08103-1461 - Phone
- (856) 342-2425
- NPI assigned
- Sep 12, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NR103753 | NJ | |
| Certified Registered Nurse Anesthetist | 367500000X | 26NJ00209400 | NJ | Primary |
Addresses
Primary practice location
1 Cooper PLZ Dept of
Camden, NJ 08103-1461
Mailing address
1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935
Other practice location 1
102E Centre Blvd
Marlton, NJ 08053-4129
Phone (856) 988-6260
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Plainsboro Rd
Plainsboro, NJ 08536-1913
Phone (609) 853-7450
30 Prospect Ave
Hackensack, NJ 07601-1914
Phone (201) 488-0066
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00209400 | NJ | MD | Certified Registered Nurse Anesthetist |
| NR103753 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Jersey Healthcare Specialists PC | Current | Accepting new patients | |
| Allied Digestive Health, LLC | Current | Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Cooper Anesthesia Associates, PC | Current | Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Princeton Healthcare Affiliated Physicians PC | Current | Accepting new patients | |
| Voorhees Pain Consultants PA | Past | Accepting new patients | |
| Atlantic Coast Gastroenterology Associates | Past | Accepting new patients | |
| Cooper Physician Offices, PA | Past | Accepting new patients | |
| Virtua Surgical Group, P.a | Past | Accepting new patients |
Locations
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800
901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000
501 Fellowship Rd
Ste 102
Mount Laurel, NJ 08054
Phone (856) 380-1768
1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353
900 Centennial Blvd
Ste E
Voorhees, NJ 08043
Phone (856) 325-6505
1640 Route 88 W
Ste 202
Wall Township, NJ 08724
Phone (732) 370-2220
218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400
Organizations & group practices 10
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.
-
- Anesthesiology Physician
- Hackensack, NJ
- NPI 1174585780
-
- Gastroenterology Physician
- West Long Beach, NJ
- NPI 1265831259
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1447207147
-
dba Princeton HealthCare Medical Associates
- Internal Medicine Physician
- Plainsboro, NJ
- NPI 1518194323
-
dba Ann E Smelkinson MD - Princeton Medicine
- Internal Medicine Physician
- Cranbury, NJ
- NPI 1114397650
-
dba Montgomery Internal Medicine Group - Princeton Medicine
- Internal Medicine Physician
- Princeton, NJ
- NPI 1770176372
-
- Gastroenterology Physician
- Brick, NJ
- NPI 1679512578
-
- Internal Medicine Physician
- Camden, NJ
- NPI 1154369510
-
- Surgery Physician
- Cherry Hill, NJ
- NPI 1184811945
-
- Anesthesiology Physician
- Marlton, NJ
- NPI 1306831656
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Penn Medicine Princeton Medical Center
- General Acute Care Hospital
- Plainsboro, NJ
- NPI 1689714255
-
dba Cooper University Hospital
- Land Ambulance
- Camden, NJ
- NPI 1174976724
Hospital
-
- General Acute Care Hospital
- Camden, NJ
- NPI 1568442309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1770578205",
"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": "1 COOPER PLZ DEPT OF",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081031461",
"telephone_number": "856-342-2425"
}
],
"practiceLocations": [
{
"address_1": "102E Centre Blvd",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080534129",
"country_code": "US",
"telephone_number": "856-988-6260",
"fax_number": "856-988-6270",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PENNISI",
"first_name": "JULIA",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-12",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "NR103753",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NJ00209400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.