DR. AUDREY JANE IACOBUCCI MD
NPI 1154589869
Pediatrics in Blackwood, NJ

Q: What is Audrey Iacobucci's NPI number?

The NPI number for Audrey Iacobucci is 1154589869. It was assigned to this individual provider in the NPPES registry on May 29, 2008.

Q: What is Audrey Iacobucci's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Audrey Iacobucci was last updated on May 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years 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.

Active since May 29, 2008PECOS Enrolled

527 S BLACK HORSE PIKE, BLACKWOOD, NJ 08012(856) 228-1061(856) 228-1907 Get Directions Write a Review

NPPES record last updated: May 26, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Audrey Jane Iacobucci Md NPPES

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

DR. AUDREY JANE IACOBUCCI MD (NPI 1154589869) is an individual pediatrics provider in Blackwood, New Jersey, licensed in New Jersey (25MA08469700) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154589869

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. AUDREY JANE IACOBUCCICredential: MD

Location Address527 S BLACK HORSE PIKEBlackwood, NJ 08012-2868

Mailing Address402 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029

Phone(856) 228-1061

Fax(856) 228-1907

Sole ProprietorNo

Enumeration DateMay 29, 2008

Last NPPES UpdateMay 26, 2011

✔ NPI 1154589869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NJ · 25MA08469700

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

527 S BLACK HORSE PIKE, Blackwood, NJ 08012

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Other Identifiers 1

Medicare PIN077356 SK3

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Audrey Jane Iacobucci Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$94.90 typical visit price

range $61.59 – $185.05

Typical copayment $23.72 (range $15.39 – $46.26)

Most-billed visit code 99203

Established Patient

$107.94 typical visit price

range $20.08 – $150.98

Typical copayment $26.98 (range $5.02 – $37.74)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JOSEPH J DELGIORNO MD

Pediatrics