NPIMap

Individual provider Active NPI

Timothy M. Slaven, D.O.

  • Cardiovascular Disease Physician
  • Egg Harbor Township, NJ
National Provider Identifier
1043215288
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
25MB08865300 Issued in NJ
Practice address
2500 English Creek Ave.
BLDG 200, Suite 211
Egg Harbor Township, NJ 08234
Phone
(609) 677-7776
Fax
(609) 677-7509
NPI assigned
Jun 15, 2005
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 02002060A IN
Cardiovascular Disease Physician 207RC0000X 25MB08865300 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave.
BLDG 200, Suite 211
Egg Harbor Township, NJ 08234

Mailing address

2500 English Creek Ave
BLDG 200, Ste 211
Egg Harbor Township, NJ 08234-5549
Phone (609) 677-7776

Other practice location 1

219 N White Horse Pike
Hammonton, NJ 08037-1896
Phone (609) 573-5077

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000036 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3173525433 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Atlanticare Physician Group PAGroup PAC ID 8527953660, 506 clinicians

Practice addresses (Care Compare)

24 S S Carolina Ave
Atlantic City, NJ 08401-7241
Phone (609) 345-6000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02002060AINMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group, PA CurrentSince Jul 31, 2012 Accepting new patients
Atlanticare Physician Group PA Cardiovascular Disease Current Accepting new patients
Atlanticare Physician Group CurrentSince Jul 31, 2012 Accepting new patients
Atlanticare Urgent Care Physicians LLC Past Accepting new patients
Atlanticare Physician Group Past Accepting new patients

Locations

24 S South Carolina Ave
Atlantic City, NJ 08401
Phone (609) 345-6000

2500 English Creek Ave
Bldg 600
Egg Harbor Twp, NJ 08234
Phone (609) 407-2302

2500 English Creek Ave
Ste 211
Egg Harbor Twp, NJ 08234
Phone (609) 677-6000

6550 Delilah Rd
Ste 301
Egg Hbr Twp, NJ 08234
Phone (609) 573-1251

54 W Jimmie Leeds Rd
Ste 14
Galloway, NJ 08205
Phone (609) 241-8215

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

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.

Hospital & facility affiliations 8

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": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1043215288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG 200, STE 211",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE.",
            "address_2": "BLDG 200, SUITE 211",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "08234",
            "telephone_number": "609-677-7776",
            "fax_number": "609-677-7509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 N White Horse Pike",
            "address_purpose": "LOCATION",
            "city": "Hammonton",
            "state": "NJ",
            "postal_code": "080371896",
            "country_code": "US",
            "telephone_number": "609-573-5077",
            "fax_number": "609-652-8258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SLAVEN",
        "first_name": "TIMOTHY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "02002060A",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MB08865300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.