Individual provider Active NPI

Raechel Ann Fockler, D.O.

  • Obstetrics & Gynecology Physician
  • Vineland, NJ
National Provider Identifier
1780934042
Registry record updated Oct 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
25MB09719200 Issued in NJ
Practice address
2950 College Dr
Suite 2F
Vineland, NJ 08360-6933
Phone
(856) 205-0606
Fax
(856) 205-0044
NPI assigned
Sep 14, 2012
Last updated
Oct 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2015

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 25MB09719200 NJ Primary

Addresses

Primary practice location

2950 College Dr
Suite 2F
Vineland, NJ 08360-6933

Mailing address

PO Box 71417
Philadelphia, PA 19176-1417
Phone (856) 669-6025

Other names 1

  • Miss Raechel Ann Grabski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150804005416 NJ Practitioner - Obstetrics/Gynecology 0143534115 Reassigns benefits to 2 organizations
I20260213001938 NC Practitioner - Obstetrics/Gynecology 0143534115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Midwestern University, Chicago College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
OB Hospitalist Services New Jersey PAGroup PAC ID 3476859182, 45 clinicians

Practice addresses (Care Compare)

1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (800) 967-2289

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB09719200NJMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-12, LLC CurrentSince Mar 1, 2026 Accepting new patients
Community Health Care, Inc. CurrentSince Sep 10, 2018 Accepting new patients
MCPC-12, LLC Obstetrics & Gynecology CurrentSince Mar 1, 2026 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
Community Health Care, Inc. Obstetrics & Gynecology CurrentSince Sep 10, 2018 Accepting new patients
OB Hospitalist Services New Jersey, PA Obstetrics & Gynecology CurrentSince Aug 19, 2018 Accepting new patients
FHPG, LLC CurrentSince Mar 1, 2026 Accepting new patients
Regional Women's Health Group,LLC Past Accepting new patients
Inspira Medical Centers, Inc. Past Accepting new patients
Regional Women's Health Group,LLC Obstetrics & Gynecology Past Accepting new patients

Locations

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755

700 Mullica Hill Rd
Mullica Hill, NJ 08062
Phone (856) 508-1000

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

425 Jack Martin Blvd
Wall Township, NJ 08724
Phone (732) 840-2200

3700 New Jersey Ave
Wildwood, NJ 08260
Phone (609) 465-0258

Organizations & group practices 11

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 1

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": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445990400000",
    "number": "1780934042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 71417",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191761417",
            "telephone_number": "856-669-6025",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 COLLEGE DR",
            "address_2": "SUITE 2F",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083606933",
            "telephone_number": "856-205-0606",
            "fax_number": "856-205-0044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOCKLER",
        "first_name": "RAECHEL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2015-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NJ",
            "license": "25MB09719200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAECHEL",
            "last_name": "GRABSKI",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.