Individual provider Active NPI

Loretta L Mueller, D.O.

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1912977950
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB05376500 Issued in NJ
Practice address
2339 Route 70 W FL 4
Cherry Hill, NJ 08002-3315
Phone
(856) 546-8525
NPI assigned
Jan 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MB05376500 NJ Primary

Addresses

Primary practice location

2339 Route 70 W FL 4
Cherry Hill, NJ 08002-3315

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (856) 356-4924

Other practice location 1

80 Tanner St
Haddonfield, NJ 08033-2453
Phone (844) 542-2273

Other practice location 2

457 Haddonfield Rd
Cherry Hill, NJ 08002-2220
Phone (856) 406-4091

Other identifiers 1

IdentifierTypeStateIssuer
4542002MedicaidNJ

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
I20100322000067 NJ Practitioner - General Practice 8022143668 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-4192

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MB05376500NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA CurrentSince Mar 1, 2021 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Mar 1, 2021 Accepting new patients
Kennedy Medical Group Practice, P.C. Family Medicine PastSince Jun 15, 2021 Accepting new patients
Rowansom Nmi Headache Family Medicine Past Accepting new patients

Locations

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

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

1 Federal St
#200
Camden, NJ 08103

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

2339 Route 70 W
Ste 400
Cherry Hill, NJ 08002
Phone (856) 546-8525

2339 Route 70 W
Fl 4
Cherry Hill, NJ 08002
Phone (856) 414-6110

Interoperability endpoints

  • Direct secure messaging: lmuellerciervo109654@direct.cooperhealth.edu

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1912977950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "856-356-4924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 ROUTE 70 W FL 4",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023315",
            "telephone_number": "856-546-8525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Tanner St",
            "address_purpose": "LOCATION",
            "city": "Haddonfield",
            "state": "NJ",
            "postal_code": "080332453",
            "country_code": "US",
            "telephone_number": "844-542-2273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "457 Haddonfield Rd",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080022220",
            "country_code": "US",
            "telephone_number": "856-406-4091",
            "fax_number": "856-406-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUELLER",
        "first_name": "LORETTA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-24",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB05376500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4542002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.