Individual provider Active NPI

Pamela A Gasiorowski, MSN, APN, C

  • Obstetrics & Gynecology Nurse Practitioner
  • Mount Holly, NJ
National Provider Identifier
1891995999
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
26NN11839000 Issued in NJ
Practice address
120 Madison Ave
Suite B
Mount Holly, NJ 08060-2055
Phone
(609) 261-6701
Fax
(609) 261-9362
NPI assigned
Jul 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NN11839000 NJ
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 26NN11839000 NJ Primary

Addresses

Primary practice location

120 Madison Ave
Suite B
Mount Holly, NJ 08060-2055

Mailing address

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

Other practice location 1

1103 Kings Hwy N Ste 201
Cherry Hill, NJ 08034-1983
Phone (856) 321-1800

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
I20140722000123 NJ Practitioner - Nurse Practitioner 8426274861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Perelman School of Med at the University of Pennsylvania, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Faculty OB-GYN, PCGroup PAC ID 9931090214, 41 clinicians

Practice addresses (Care Compare)

1103 N Kings Hwy
Suite 201
Cherry Hill, NJ 08034-1983
Phone (856) 321-1800

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
97.94
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NN11839000NJMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA Nurse Practitioner CurrentSince May 11, 2014 Accepting new patients
Virtua Medical Group, PA CurrentSince May 11, 2014 Accepting new patients
Cooper Faculty OB-GYN, PC CurrentSince Oct 12, 2018 Accepting new patients
Cooper Obstetrical Associates, PC CurrentSince Oct 12, 2018 Accepting new patients
Cooper GYN Oncology Association, PC Past Accepting new patients
University Urogynecology Association, PC Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients
Ladies Choice Obstetrics & Gynecology PC PastSince Jan 1, 2013 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

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

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

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

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

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

1103 Kings Hwy N
Ste 201
Cherry Hill, NJ 08034
Phone (856) 321-1800

120 Madison Ave
Ste B
Mount Holly, NJ 08060
Phone (609) 261-4925

7000 Atrium Way
Ste 6
Mount Laurel, NJ 08054
Phone (856) 206-4500

Interoperability endpoints

  • Direct secure messaging: pgasiorowski80178@direct.cooperhealth.edu

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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": "1184716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1891995999",
    "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": "120 MADISON AVE",
            "address_2": "SUITE B",
            "city": "MOUNT HOLLY",
            "state": "NJ",
            "postal_code": "080602055",
            "telephone_number": "609-261-6701",
            "fax_number": "609-261-9362"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1103 Kings Hwy N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080341983",
            "country_code": "US",
            "telephone_number": "856-321-1800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASIOROWSKI",
        "first_name": "PAMELA",
        "middle_name": "A",
        "credential": "MSN, APN, C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-18",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NN11839000",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "NJ",
            "license": "26NN11839000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Holly, NJ

Sources for this page

Verify at the official NPI Registry.