Active NPI
Timothy M. Slaven, D.O.
- Cardiovascular Disease Physician
- Egg Harbor Township, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 25MB08865300
- 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
- Sex
- Male
- 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 |
|---|---|---|---|---|
| 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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0254142 | Medicaid | NJ | |
| 200254350A | Medicaid | IN |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- 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
Practice addresses (Care Compare)
24 S S Carolina Ave
Atlantic City, NJ 08401-7241
Phone (609) 345-6000
Hospital & facility affiliations
- Hackensack Meridian at Home Ocean County
- Southern Ocean Medical Center
- Atlanticare Regional Medical Center - City Campus
- JFK University Medical Center
- Jersey Shore University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02002060A | IN | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanticare Physician Group | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Cardiovascular Disease | Current | 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
Ste 211
Egg Harbor Twp, NJ 08234
Phone (609) 677-6000
2500 English Creek Ave
Bldg 600
Egg Harbor Twp, NJ 08234
Phone (609) 407-2337
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 and National Provider Directory roles.
-
- Clinic/Center
- Egg Harbor Township, NJ
- NPI 1093829608
Cardiovascular Disease
-
- Clinical Social Worker
- Egg Harbor Township, NJ
- NPI 1881618494
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Primary Care Clinic/Center
- Ventnor City, NJ
- NPI 1194839910
-
- Urgent Care Clinic/Center
- Sicklerville, NJ
- NPI 1083991616
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pomona, NJ
- NPI 1013919315
-
- Home Health Agency
- Brick, NJ
- NPI 1376638064
-
- General Acute Care Hospital
- Edison, NJ
- NPI 1144894577
-
- General Acute Care Hospital
- Neptune, NJ
- NPI 1790297547
-
- General Acute Care Hospital
- Manahawkin, NJ
- NPI 1831601590
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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0254142",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200254350A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Egg Harbor Township, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.