Active NPI
Prateek Juneja, DO
- Critical Care Medicine (Internal Medicine) Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- OS02525C
- Practice address
- 1331 E Wyoming Ave
Philadelphia, PA 19124-3808 - Phone
- (215) 707-1622
- NPI assigned
- Jun 19, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS22572 | FL | |
| Internal Medicine Physician | 207R00000X | OS025235C | PA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | OS02525C | PA | Primary |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 25MB11795400 | NJ | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 102846 | GA |
Addresses
Primary practice location
1331 E Wyoming Ave
Philadelphia, PA 19124-3808
Mailing address
3509 N Broad St
Philadelphia, PA 19140-4105
Other practice location 1
1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-4225
Other practice location 2
743 Spring St NE
Gainesville, GA 30501-3715
Phone (770) 219-9000
Other practice location 3
1505 W Sherman Ave
Vineland, NJ 08360-7059
Phone (856) 641-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Lincoln Memorial University Medical Department, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
743 Spring Nest
Gainesville, GA 30501-3715
Phone (770) 219-6000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.83 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| OS025235C | PA | MD | Internal Medicine Physician |
| OS02525C | PA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMC Department of Medicine Group PA | Current | Accepting new patients | |
| Northeast Georgia Physicians Group Inc | Internal Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Current | Accepting new patients | |
| CMC Department of Medicine Group PA | Critical Care Medicine | Current | Accepting new patients |
| Community Health Care, Inc. | Internal Medicine | Current | Accepting new patients |
Locations
743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915
597 S Enota Dr NE
Gainesville, GA 30501
Phone (770) 219-8275
30 N Pearl St
Bridgeton, NJ 08302
1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425
3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439
1 Federal St
Ste 200
Camden, NJ 08103
Phone (848) 288-6935
335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720
1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600
Interoperability endpoints
- pjuneja126036@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.
-
- Family Medicine Physician
- Gainesville, GA
- NPI 1891745212
Internal Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- Camden, NJ
- NPI 1679605554
-
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Internal Medicine
-
- Specialist
- Camden, NJ
- NPI 1386682094
-
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gainesville, GA
- NPI 1427055821
-
- General Acute Care Hospital
- Blairsville, GA
- NPI 1487684122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786406400000",
"number": "1962996330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191404105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1331 E WYOMING AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191243808",
"telephone_number": "215-707-1622"
}
],
"practiceLocations": [
{
"address_1": "1350 Hickory St",
"address_purpose": "LOCATION",
"city": "Melbourne",
"state": "FL",
"postal_code": "329013224",
"country_code": "US",
"telephone_number": "321-434-4225",
"fax_number": "321-434-4247",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "743 Spring St NE",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "GA",
"postal_code": "305013715",
"country_code": "US",
"telephone_number": "770-219-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1505 W Sherman Ave",
"address_purpose": "LOCATION",
"city": "Vineland",
"state": "NJ",
"postal_code": "083607059",
"country_code": "US",
"telephone_number": "856-641-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JUNEJA",
"first_name": "PRATEEK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-19",
"last_updated": "2026-08-11",
"certification_date": "2026-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "FL",
"license": "OS22572",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "OS025235C",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "OS02525C",
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NJ",
"license": "25MB11795400",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "GA",
"license": "102846",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.