Individual provider Active NPI

Barbara Gleeson, MSN, APN, C

  • Family Medicine Physician
  • Pennsauken, NJ
National Provider Identifier
1922087311
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26NN07371500 Issued in NJ
Practice address
6981 N Park Dr
Cooper River West Office Building
Pennsauken, NJ 08109-4205
Phone
(856) 663-4949
Fax
(856) 663-6076
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 26NN07371500 NJ Primary

Addresses

Primary practice location

6981 N Park Dr
Cooper River West Office Building
Pennsauken, NJ 08109-4205

Mailing address

401 Route 73 North 40 Lake Center Drive
Suite 201a
Marlton, NJ 08053-3425
Phone (856) 355-0340

Other identifiers 1

IdentifierTypeStateIssuer
8640807MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bgleeson13916@directvirtua.org

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
I20100208000030 NJ Practitioner - Nurse Practitioner 8224171681 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Jul 1, 2010 Accepting new patients
Virtua Surgical Group, P.a Past Accepting new patients

Locations

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

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

6981 N Park Dr
Ste 200A
Pennsauken, NJ 08109
Phone (856) 663-4949

Interoperability endpoints

  • Direct secure messaging: bgleeson13916@directvirtua.org

Organizations & group practices 3

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1922087311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 NORTH 40 LAKE CENTER DRIVE",
            "address_2": "SUITE 201A",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533425",
            "telephone_number": "856-355-0340",
            "fax_number": "856-355-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6981 N PARK DR",
            "address_2": "COOPER RIVER WEST OFFICE BUILDING",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094205",
            "telephone_number": "856-663-4949",
            "fax_number": "856-663-6076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEESON",
        "first_name": "BARBARA",
        "credential": "MSN, APN, C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NN07371500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8640807",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bgleeson13916@directvirtua.org",
            "affiliation": "N",
            "address_1": "6981 N Park Dr",
            "address_2": "Cooper River West Office Building",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

Verify at the official NPI Registry.