Individual provider Active NPI

Colleen H Pham, CNM

  • Advanced Practice Midwife
  • Somers Point, NJ
National Provider Identifier
1952516718
Registry record updated Apr 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME0044100 Issued in NJ
Practice address
599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400
Phone
(609) 926-8353
Fax
(609) 926-4579
NPI assigned
May 14, 2007
Last updated
Apr 8, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME0044100 NJ Primary

Addresses

Primary practice location

599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400

Mailing address

227 Laurel Rd
Ste 300
Voorhees, NJ 08043-8303
Phone (856) 669-6050

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140409001782 NJ Practitioner - Certified Nurse Midwife (CNM) 4587896378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regional Womens Health Group LLCGroup PAC ID 2961316328, 352 clinicians

Practice addresses (Care Compare)

599 Shore Rd
Suite 101
Somers Point, NJ 08244-2400
Phone (609) 926-8353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME0044100NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Women's Health Group, LLC CurrentSince Apr 29, 2014 Accepting new patients

Locations

605 Route 9 S
Ste 4
Cape May Court House, NJ 08210
Phone (609) 463-8100

400 Lippincott Dr
Ste 140B
Marlton, NJ 08053

4622 Black Horse Pike
Ste 104
Mays Landing, NJ 08330
Phone (609) 625-9610

599 Shore Rd
Ste 101
Somers Point, NJ 08244
Phone (609) 926-8353

829 Shore Rd
Somers Point, NJ 08244
Phone (609) 927-3070

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

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

Interoperability endpoints

  • Direct secure messaging: colleen.pham@axia.eclinicaldirectplus.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1952516718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 LAUREL RD",
            "address_2": "STE 300",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080438303",
            "telephone_number": "856-669-6050",
            "fax_number": "856-651-0794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SHORE RD",
            "address_2": "SUITE 101",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442400",
            "telephone_number": "609-926-8353",
            "fax_number": "609-926-4579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "COLLEEN",
        "middle_name": "H",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME0044100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somers Point, NJ

Sources for this page

Verify at the official NPI Registry.