Claudine M de Dan MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MA07871700 Issued in NJ

Legal business name

CLAUDINE M DE DAN MD LLC

Practice address

34 Colson LN Ste B
Mullica Hill, NJ 08062-1502

Phone

(856) 628-8120

Fax

(856) 628-8123

NPI assigned

Aug 29, 2017

Last updated

Jul 21, 2022By 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. Claudine M De Dan, MDNPI 1124058367

Title

Owner

Phone

(856) 628-8120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Claudine De Dan, MD

  • Family Medicine Physician
  • Mullica Hill, NJ
  • NPI 1124058367
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1134646268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 COLSON LN STE B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-628-8120",
            "fax_number": "856-628-8123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 COLSON LN STE B",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621502",
            "telephone_number": "856-628-8120",
            "fax_number": "856-628-8123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDINE M DE DAN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DE DAN",
        "authorized_official_first_name": "CLAUDINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-628-8120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA07871700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joni Cheung, DDS
• Alex Chiu, DO
• Aulina Chowdhury, DO MA MS
• Taylor Christina, M.S., CCC-SLP
• Leanore Marie Cipollone, APRN, BC
• Clearview Regional High School
• Kristi Collins
• Sarah Elizabeth Congdon
• Jenna Marie Contrevo, PHARMD, RPH
• Kevin Daniel Corcoran

• Family Medicine Physician in Mullica Hill, NJ
• Providers in Mullica Hill, 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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.