Individual provider Active NPI

Elaine Paynter, RN,APN

  • Pediatric Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1780884080
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
NN54958 Issued in NJ
Practice address
3 Cooper PLZ
Suite 200
Camden, NJ 08103
Phone
(856) 342-2001
NPI assigned
Jul 24, 2007
Last updated
Aug 7, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X NN54958 NJ Primary

Addresses

Primary practice location

3 Cooper PLZ
Suite 200
Camden, NJ 08103

Mailing address

1 Federal St Ste Sw200
Camden, NJ 08103-1155
Phone (856) 356-4924

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
I20080226000235 NJ Practitioner - Nurse Practitioner 5496839797 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Registered Nurse

State licenses

LicenseStateTypeSpecialty
NN54958NJMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Pediatrics CurrentSince Aug 6, 2018 Accepting new patients
Cooper Physician Offices, PA CurrentSince Nov 1, 2018 Accepting new patients
Cooper Pediatric Specialists, PC Past Accepting new patients

Locations

1900 Mount Holly Rd
Ste 1B
Burlington, NJ 08016
Phone (609) 239-0306

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

1 Cooper Plz
#6S
Camden, NJ 08103

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

3 Cooper Plz
Rm 200
Camden, NJ 08103
Phone (609) 342-2001

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

3 Cooper Plz
Rm 520
Camden, NJ 08103
Phone (856) 342-2298

525 Clinton St
Camden, NJ 08103
Phone (215) 496-0707

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

110 Marter Ave
Ste 402
Moorestown, NJ 08057
Phone (856) 234-7073

110 Marter Ave
Ste 505
Moorestown, NJ 08057
Phone (856) 235-4840

4 Plaza Dr
Ste 401
Sewell, NJ 08080
Phone (856) 270-4050

6400 Main St
Voorhees, NJ 08043
Phone (609) 751-9339

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.

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1780884080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE SW200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031155",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08103",
            "telephone_number": "856-342-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNTER",
        "first_name": "ELAINE",
        "credential": "RN,APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NJ",
            "license": "NN54958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.