Active NPI
Christine A Deforest, D.O.
- Emergency Medicine Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 25MB12688800
- Practice address
- 51 N 39TH St
M01 Myrin Basement
Philadelphia, PA 19104 - Phone
- (267) 588-6915
- NPI assigned
- Jun 9, 2009
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS023866 | PA | |
| Emergency Medicine Physician | 207P00000X | 25MB12688800 | NJ | Primary |
Addresses
Primary practice location
51 N 39TH St
M01 Myrin Basement
Philadelphia, PA 19104
Mailing address
3001 N Green Bay Rd
North Chicago, IL 60064
Phone (412) 973-3102
Other practice location 1
3001 N Green Bay Rd
North Chicago, IL 60064
Phone (267) 588-6915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| VAD0000 | Other | EMERGENCY MEDICINE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, PA, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Philadelphia Col of Osteo Med, Sewanee, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Bowman Dr
Voorhees, NJ 08043-9619
Phone (856) 247-3000
51 N 39TH St
Philadelphia, PA 19104-2640
Phone (215) 662-8214
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MB12688800 | NJ | MD | Emergency Medicine Physician |
| OS023866 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Emergency Physician Associates of South Jersey P C | Emergency Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Emergency Physician Services of New Jersey,Professional Association | Emergency Medicine | Current | Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| University of Penn-Medical Group | Current | Accepting new patients |
Locations
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
100 Townsend Ave
Berlin, NJ 08009
Phone (856) 322-3000
200 Trenton Rd
Browns Mills, NJ 08015
Phone (609) 893-1200
90 Brick Rd
Marlton, NJ 08053
Phone (856) 355-6040
175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660
100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
Organizations & group practices 6
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.
-
- Gynecologic Oncology Physician
- Philadelphia, PA
- NPI 1235527342
-
- Emergency Medicine Physician
- Voorhees, NJ
- NPI 1215965231
-
- Emergency Medicine Physician
- Mount Holly, NJ
- NPI 1831539568
-
- Urology Physician
- Philadelphia, PA
- NPI 1801284823
-
- Surgical Oncology Physician
- Philadelphia, PA
- NPI 1871981985
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba UPHS Presbyterian Medical Center
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
-
dba Virtua Health & Wellness Center
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1104052794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 N GREEN BAY RD",
"city": "NORTH CHICAGO",
"state": "IL",
"postal_code": "60064",
"telephone_number": "412-973-3102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 N 39TH ST",
"address_2": "M01 MYRIN BASEMENT",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19104",
"telephone_number": "267-588-6915"
}
],
"practiceLocations": [
{
"address_1": "3001 N Green Bay Rd",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "60064",
"country_code": "US",
"telephone_number": "267-588-6915",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEFOREST",
"first_name": "CHRISTINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-09",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS023866",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NJ",
"license": "25MB12688800",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMERGENCY MEDICINE",
"identifier": "VAD0000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; 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.