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NPISignal

Individual Healthcare Provider

Katherine Wacyk

NPI Record: ActivePediatrics — Neonatal-Perinatal Medicine
NPI1124918453
Camden, New Jersey

Provider's NPPES record last updated: August 12, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1124918453
Primary Specialty
Pediatrics — Neonatal-Perinatal Medicine
Practice Location
Camden, New Jersey
Sole Proprietor
No

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 18, 2026, 1:14 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Pediatrics

    Neonatal-Perinatal Medicine

    Allopathic & Osteopathic Physicians

    Primary

    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.

    Taxonomy code 2080N0001X
  • Nurse Practitioner

    Neonatal, Critical Care

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 363LN0005X
  • Registered Nurse

    Neonatal Intensive Care

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WN0002X

Provider-Reported License Information

Pediatrics (New Jersey)
26NJ15375800
Nurse Practitioner (Pennsylvania)
SP033285
Registered Nurse (Pennsylvania)
RN693620
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

1 Cooper Plz # 2b

Camden, New Jersey 08103-1461

Phone: (856) 342-2600

Additional Practice Location

160 E Erie Ave

Philadelphia, Pennsylvania 19134-1011

Phone: (267) 664-3126

Record Information

Enumeration Date
July 8, 2025
Provider's NPPES Record Last Updated
August 12, 2025
Certification Date
August 12, 2025
NPISignal NPPES Dataset
August 2026

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