Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Pamela Rose Blatkiewicz

Individual provider Registered Nurse · NPI 1669962304

MS. Pamela Rose Blatkiewicz is a Nurse Practitioner in Mount Laurel, New Jersey. Qualified in 2017, 9 years ago. Practices with Cmc Department of Medicine Group PA, a 474-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
9
Licensed in
NJ, PA
In the registry since
2018
Specialties on file
4

Practice location Address checks out

501 Fellowship Rd Ste 101
Mount Laurel, NJ 08054-3419
Phone: (856) 642-2133
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 15000 Midlantic Dr Ste 102, Mount Laurel, NJ 08054-1573 — (855) 727-2465

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ00817900 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence 26NR18788300 (NJ)
Registered Nurse Taxonomy 163W00000X · Licence RN689771 (PA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence SP018879 (PA)

Record details

NPI number1669962304
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 17, 2018
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address1 Federal St Ste 200, Camden, NJ 08103-1088

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cmc Department Of Medicine Group Pa — 474 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mount Laurel