Individual provider Active NPI

Chevon Alease Neal-Mink, FNP-BC

  • Family Nurse Practitioner
  • Sicklerville, NJ
National Provider Identifier
1003687591
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ14942400 Issued in NJ
Practice address
500 Berlin Cross Keys Rd
Sicklerville, NJ 08081-4355
Phone
(856) 536-1536
NPI assigned
Jan 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ14942400 NJ Primary

Addresses

Primary practice location

500 Berlin Cross Keys Rd
Sicklerville, NJ 08081-4355

Mailing address

1 Federal St Ste 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other names 1

  • Ms. Chevon Alease Johnson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208002603 NJ Practitioner - Nurse Practitioner 9537502323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1210 Brace Rd
Cherry Hill, NJ 08034-3213

3 Cooper PLZ
Camden, NJ 08103-1438

6200 Main St
Voorhees, NJ 08043-4629
Phone (856) 325-6516

6200 Plazza at Main St
Voorhees, NJ 08043-4629
Phone (856) 489-7726

6225 Main St
Voorhees, NJ 08043-4629
Phone (856) 325-6674

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Surgical Associates, PA CurrentSince Jan 30, 2024 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jan 30, 2024 Accepting new patients

Locations

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

3 Cooper Plz
Camden, NJ 08103
Phone (609) 342-2001

303 Central Ave
Egg Hbr Twp, NJ 08234
Phone (609) 601-9904

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

500 Berlin Cross Keys Rd
Sicklerville, NJ 08081
Phone (856) 536-1536

6017 Main St
Voorhees, NJ 08043
Phone (856) 673-4500

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

Interoperability endpoints

  • Direct secure messaging: cnealmink110953@direct.cooperhealth.edu

Organizations & group practices 2

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1003687591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST STE 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BERLIN CROSS KEYS RD",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080814355",
            "telephone_number": "856-536-1536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL-MINK",
        "first_name": "CHEVON",
        "middle_name": "ALEASE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-12",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ14942400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHEVON",
            "last_name": "JOHNSON",
            "middle_name": "ALEASE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sicklerville, NJ

Sources for this page

Verify at the official NPI Registry.