Individual provider Active NPI

Elyce H Cardonick, MD

  • Maternal & Fetal Medicine Physician
  • Camden, NJ
National Provider Identifier
1831289529
Registry record updated Apr 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
MA65877 Issued in NJ
Practice address
1 Cooper PLZ
Dorrance Building, Room 623
Camden, NJ 08103-1461
Phone
(856) 324-2491
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X MA65877 NJ Primary
Maternal & Fetal Medicine Physician 207VM0101X MD054968L PA

Addresses

Primary practice location

1 Cooper PLZ
Dorrance Building, Room 623
Camden, NJ 08103-1461

Mailing address

3 Cooper PLZ
Suite 502
Camden, NJ 08103-1438
Phone (856) 968-7433

Other identifiers 12

IdentifierTypeStateIssuer
3341708OtherNJAETNA
60004492OtherNJHORIZON NJ HEALTH
60005429OtherNJHORIZON NJ HEALTH
0423103000OtherNJAMERIHEALTH/KEYSTONE/IBC
8134104OtherNJCIGNA
010005628OtherNJAMERICHOICE
656684OtherNJAMERIHEALTH PPO/PA BS
7407904MedicaidNJ
24704OtherNJUNIVERSITY HEALTH PLAN
P3081743OtherNJOXFORD
1963862OtherNJUNITED HEALTHCARE
3341704OtherNJAETNA

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
I20040127000290 NJ Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 7113829367 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Medical College of Pennsylvania, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Perinatology Associates, PC 6 clinicians

Practice addresses (Care Compare)

333 E Jimmie Leeds Rd
Suite 6
Galloway, NJ 08205-4123
Phone (609) 652-6200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA65877NJMDMaternal & Fetal Medicine Physician
MD054968LPAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Sep 1, 2018 Accepting new patients
Regional Women'S Health Group, LLC Maternal & Fetal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Atlanticare Physician Group PA CurrentSince Sep 1, 2018 Accepting new patients
Cooper Obstetrical Associates, PC Maternal & Fetal Medicine CurrentSince Feb 20, 2010 Accepting new patients
Cooper Perinatology Associates, PC Maternal & Fetal Medicine CurrentSince Oct 1, 2003 Accepting new patients
Regional Womens Health Group LLC Maternal & Fetal Medicine CurrentSince Nov 1, 2020 Accepting new patients
Jefferson University Physicians Past Accepting new patients
Cooper GYN Oncology Association, PC Past Accepting new patients
University Urogynecology Association, PC Past Accepting new patients
Jefferson University Physicians Past Accepting new patients
Cooper Pediatrics PastSince Oct 1, 2003 Accepting new patients

Locations

1 Cooper Plz
Rm 623
Camden, NJ 08103
Phone (856) 324-2491

1 Cooper Plz
#L
Camden, NJ 08103
Phone (856) 342-2065

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

3 Cooper Plz
Rm 502
Camden, NJ 08103
Phone (856) 342-2921

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

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

1 Cooper Plz
Ste D623
Camden, NJ 08103

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

303 Central Ave
Ste 4
Egg Harbor Township, NJ 08234
Phone (856) 536-1810

333 E Jimmie Leeds Rd
Ste 6
Galloway, NJ 08205
Phone (609) 652-6200

338 Belleville Tpke
Kearny, NJ 07032
Phone (201) 991-3838

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

10 Forrestal Rd S
Ste 208
Princeton, NJ 08540
Phone (609) 921-2449

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

188 Fries Mill Rd
Ste N1
Turnersville, NJ 08012
Phone (609) 261-7023

2401 E Evesham Rd
Ste A2
Voorhees, NJ 08043
Phone (856) 489-5700

227 Laurel Rd
Ste 300
Voorhees, NJ 08043
Phone (856) 669-6025

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Interoperability endpoints

  • Direct secure messaging: ecardonick3319@direct.cooperhealth.edu

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461283200000",
    "number": "1831289529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 502",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-968-7433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COOPER PLZ",
            "address_2": "DORRANCE BUILDING, ROOM 623",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031461",
            "telephone_number": "856-324-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDONICK",
        "first_name": "ELYCE",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2016-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NJ",
            "license": "MA65877",
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "PA",
            "license": "MD054968L",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3341708",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60004492",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HORIZON NJ HEALTH",
            "identifier": "60005429",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH/KEYSTONE/IBC",
            "identifier": "0423103000",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8134104",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010005628",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH PPO/PA BS",
            "identifier": "656684",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7407904",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERSITY HEALTH PLAN",
            "identifier": "24704",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P3081743",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1963862",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3341704",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

Verify at the official NPI Registry.