KATHERINE WACYK
NPI 1124918453
Pediatrics - Neonatal-Perinatal Medicine in Camden, NJ

Active since July 08, 2025PECOS Enrolled
1 COOPER PLZ # 2B, CAMDEN, NJ 08103(856) 342-2600 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Jul 11, 2025 (2 updates tracked since 2025).

About Katherine Wacyk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHERINE WACYK (NPI 1124918453) is an individual neonatal-perinatal medicine provider in Camden, New Jersey, licensed in New Jersey (26NJ15375800) and active in the NPI registry since July 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Philadelphia, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1124918453
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameKATHERINE WACYK
Location Address1 COOPER PLZ # 2BCamden, NJ 08103-1461
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJuly 8, 2025
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1124918453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License Licensed in NJ · 26NJ15375800
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedRegistered Nurse · Neonatal Intensive CareTaxonomy 163WN0002X · License RN693620 (PA)
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License SP033285 (PA)
1 COOPER PLZ # 2B, Camden, NJ 08103

Secondary Practice Location 1

Location 1160 E Erie AvePhiladelphia, PA 19134-1011 · Phone (267) 664-3126

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Katherine Wacyk is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709387616
PECOS Enrollment IDI20250902001566
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Wacyk's NPI number?

The NPI number for Katherine Wacyk is 1124918453. It was assigned to this individual provider in the NPPES registry on July 8, 2025.

Where is Katherine Wacyk located?

Katherine Wacyk practices at 1 Cooper Plz # 2B, Camden, NJ 08103. The listed phone number is (856) 342-2600.

What is Katherine Wacyk's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Katherine Wacyk enrolled in Medicare?

Yes. Katherine Wacyk is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Katherine Wacyk was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.