NPIMap

Organization Active NPI

Christiana Care Health Initiatives

  • Cardiovascular Disease Physician
  • Woodstown, NJ
National Provider Identifier
1124531280
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CHRISTIANA CARE HEALTH INITIATIVES
Practice address
125 East Ave Ste D
Woodstown, NJ 08098-1351
Phone
(856) 769-3900
Fax
(856) 769-3903
NPI assigned
Nov 13, 2017
Organization subpart
Yes
Parent organization
CHRISTIANA CARE HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Authorized official

Name
Aileen Abad
Title
Operations Coordinator
Phone
(302) 623-7362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

125 East Ave Ste D
Woodstown, NJ 08098-1351

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-7362

Other names 1

  • CCHI Cardiology Consultants NJ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425000011 NJ Part B Supplier - Clinic/Group Practice 2466351481 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carneys Point, NJ; Woodstown, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Infusion SVCS of Delawa7 organizations share this tax ID, including this one
Part of
Infusion SVCS of Delawa

Other organizations with this tax ID 6

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

Locations

341 Shell Rd
Penns Grove, NJ 08069
Phone (609) 299-4600

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510531200000",
    "number": "1124531280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-7362",
            "fax_number": "302-623-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST AVE STE D",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981351",
            "telephone_number": "856-769-3900",
            "fax_number": "856-769-3903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIANA CARE HEALTH INITIATIVES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH INITIATIVES",
        "enumeration_date": "2017-11-13",
        "last_updated": "2017-11-13",
        "status": "A",
        "authorized_official_last_name": "ABAD",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "302-623-7362"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHI Cardiology Consultants NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.