Cherry Hill Evesham Pediatric and Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CHERRY HILL EVESHAM PEDIATRIC AND FAMILY MEDICINE

Practice address

526 Lippincott Dr
Marlton, NJ 08053-4805

Phone

(856) 985-3700

NPI assigned

Jan 12, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Surendra C Sheth, MDNPI 1205880432

Title

President

Phone

(856) 985-3700

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Surendra C Sheth, M D

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1205880432
  Authorized official Same address or phone

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083765606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534805",
            "telephone_number": "856-985-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 LIPPINCOTT DR",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534805",
            "telephone_number": "856-985-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL EVESHAM PEDIATRIC AND FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHETH",
        "authorized_official_first_name": "SURENDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-985-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidhi Chauhan
• Gabriela Chaviano, MD
• Chaviv TRT & Wellness Clinic LLC
• Jui-Yu Belle Chen, DMD
• Yingqiao Chen, PMHNP
• Cherry Hill Medical Associates, P.a.
• Dennis W. Chew, DDS
• Alexander Chianese, APN
• Jennifer Chiesa, DO
• Gail Gerard Childers, DMD

• Family Medicine Physician in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.