Active NPI
Jennifer L Ridgway, C.R.N.A.
- Certified Registered Nurse Anesthetist
- Mount Holly, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NJ 26ND11974800
- Practice address
- 175 Madison Ave FL 1
Mount Holly, NJ 08060-2099 - Phone
- (609) 914-6000
- NPI assigned
- Dec 1, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NJ 26ND11974800 | NJ | Primary |
Addresses
Primary practice location
175 Madison Ave FL 1
Mount Holly, NJ 08060-2099
Mailing address
PO Box 8505
Cherry Hill, NJ 08002-0505
Phone (856) 755-1616
Other practice location 1
1600 Haddon Ave
Camden, NJ 08103-3101
Phone (856) 757-3836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 222041639 | Other | NJ | TAX ID |
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
- Rutgers New Jersey Medical School, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
175 Madison Ave
Mount Holly, NJ 08060-2038
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
- Virtua Mount Holly Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.15 of 100
- Quality
- 62.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.89
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NJ 26ND11974800 | NJ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Mid-Atlantic Anesthesia Associates PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Rancocas Anesthesiology, P.a. | Past | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
1600 Haddon Ave
Camden, NJ 08103
Phone (609) 757-3500
1600 Haddon Ave
#L
Camden, NJ 08103
Phone (856) 757-3500
175 Madison Ave
Fl 1
Mount Holly, NJ 08060
Phone (609) 914-6000
200 Bowman Dr
Ste E400
Voorhees, NJ 08043
Phone (855) 847-8823
Interoperability endpoints
- jridgway70930@directvirtua.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Camden, NJ
- NPI 1366486508
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
-
- Foot & Ankle Surgery Podiatrist
- Marlton, NJ
- NPI 1902356215
-
- Specialist
- Mount Laurel, NJ
- NPI 1427076553
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1831267640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 8505",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080020505",
"telephone_number": "856-755-1616",
"fax_number": "856-755-0098"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 MADISON AVE FL 1",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080602099",
"telephone_number": "609-914-6000"
}
],
"practiceLocations": [
{
"address_1": "1600 Haddon Ave",
"address_purpose": "LOCATION",
"city": "Camden",
"state": "NJ",
"postal_code": "081033101",
"country_code": "US",
"telephone_number": "856-757-3836",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIDGWAY",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "C.R.N.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-01",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "NJ 26ND11974800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "222041639",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Holly, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.