Active NPI
Candice A Disanti, CNM
- Advanced Practice Midwife
- Pennington, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 25ME00043601
- Practice address
- 1 Capital Way
Pennington, NJ 08534-2520 - Phone
- (609) 303-4000
- NPI assigned
- May 18, 2007
- Last updated
- Jun 6, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 25ME00043601 | NJ | Primary |
| Advanced Practice Midwife | 367A00000X | 26NO10117400 | NJ |
Addresses
Primary practice location
1 Capital Way
Pennington, NJ 08534-2520
Mailing address
PO Box 536
Voorhees, NJ 08043-0536
Phone (856) 669-6050
Other practice location 1
406 E Gibbsboro Rd
Lindenwold, NJ 08021-1907
Phone (856) 435-7007
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Capital Way
Pennington, NJ 08534-2520
Phone (609) 303-4000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25ME00043601 | NJ | MD | Advanced Practice Midwife |
| 26NO10117400 | NJ | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Health Multispecialty Group | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Advocare, LLC | Current | Accepting new patients | |
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Advocare , LLC | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211
1 Capital Way
Pennington, NJ 08534
Phone (609) 303-4000
100 Bowman Dr
Fl 1
Voorhees, NJ 08043
Phone (856) 247-2645
Interoperability endpoints
- candice.disanti.1@12833.direct.athenahealth.com
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Trenton, NJ
- NPI 1083072342
-
- Pediatrics Physician
- Marlton, NJ
- NPI 1770538696
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
-
dba Advocare Berlin Medical Associates (DME)
- Internal Medicine Physician
- Manahawkin, NJ
- NPI 1912762162
-
dba Virtua Reconstructive Orthopedics - Delran
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Capital Health Medical Center - Hopewell
- General Acute Care Hospital
- Pennington, NJ
- NPI 1073516183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717632000000",
"number": "1013125632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 536",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080430536",
"telephone_number": "856-669-6050",
"fax_number": "856-651-0794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CAPITAL WAY",
"city": "PENNINGTON",
"state": "NJ",
"postal_code": "085342520",
"telephone_number": "609-303-4000"
}
],
"practiceLocations": [
{
"address_1": "406 E Gibbsboro Rd",
"address_purpose": "LOCATION",
"city": "Lindenwold",
"state": "NJ",
"postal_code": "080211907",
"country_code": "US",
"telephone_number": "856-435-7007",
"fax_number": "856-435-3866",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DISANTI",
"first_name": "CANDICE",
"middle_name": "A",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-18",
"last_updated": "2024-06-06",
"certification_date": "2024-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "25ME00043601",
"primary": true
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NJ",
"license": "26NO10117400",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pennington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.