NPIMap

Organization Active NPI

Children's Health Care Associates of New Jersey PC

  • Pediatrics Physician
  • Voorhees, NJ
National Provider Identifier
1033204052
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Practice address
1012 Laurel Oak Rd
Specialty Center at Voorhees - Chop
Voorhees, NJ 08043-3505
Phone
(856) 435-1300
Fax
(215) 977-8864
NPI assigned
Oct 4, 2006
Last updated
Jun 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Yasmen Mohammad
Title
Cfo
Phone
(215) 409-8288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X Primary

Addresses

Primary practice location

1012 Laurel Oak Rd
Specialty Center at Voorhees - Chop
Voorhees, NJ 08043-3505

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319
Phone (267) 425-9408

Other identifiers 4

IdentifierTypeStateIssuer
0006558520006MedicaidPA
8241601MedicaidNJ
0001025402MedicaidDE
02278884MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Childrens Health Care Assoc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1033204052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319",
            "telephone_number": "267-425-9408",
            "fax_number": "215-977-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 LAUREL OAK RD",
            "address_2": "SPECIALTY CENTER AT VOORHEES - CHOP",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433505",
            "telephone_number": "856-435-1300",
            "fax_number": "215-977-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "MOHAMMAD",
        "authorized_official_first_name": "YASMEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "215-409-8288"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006558520006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8241601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001025402",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02278884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.