Active NPI
Prabha J Nair, M.D.
- Pediatrics Physician
- Bridgeton, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MA05991300
- Practice address
- 70 Cohansey St
Bridgeton, NJ 08302-1918 - Phone
- (856) 451-4700
- Fax
- (856) 451-0029
- NPI assigned
- Jun 23, 2006
- Last updated
- Feb 24, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MA05991300 | NJ | Primary |
Addresses
Primary practice location
70 Cohansey St
Bridgeton, NJ 08302-1918
Mailing address
53 S Laurel St
Second Floor
Bridgeton, NJ 08302-1946
Phone (856) 451-4700
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA05991300 | NJ | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Pediatrics | Current | Accepting new patients |
| Community Health Care, Inc. | Past | Accepting new patients | |
| Inspira Medical Centers, Inc. | Past | Accepting new patients |
Locations
105 Manheim Ave
Bridgeton, NJ 08302
Phone (609) 451-4700
265 Irving Ave
Bridgeton, NJ 08302
30 N Pearl St
Bridgeton, NJ 08302
53 S Laurel St
#2
Bridgeton, NJ 08302
70 Cohansey St
Bridgeton, NJ 08302
Phone (856) 497-6650
410 Route 9 N
Cape May Court House, NJ 08210
Phone (609) 463-2151
335 Delsea Dr N
Glassboro, NJ 08028
Phone 85645147002755
319 W Landis Ave
Vineland, NJ 08360
Phone 8566913300 ext. 1167
785 W Sherman Ave
Vineland, NJ 08360
Interoperability endpoints
- prabha.nair.p1@direct.cchn.nextgenshare.com
Organizations & group practices 4
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.
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Bridgeton, NJ
- NPI 1700816816
Pediatrics
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Williamstown, NJ
- NPI 1194568303
-
dba CompleteCare Health Network
- Federally Qualified Health Center (FQHC)
- Millville, NJ
- NPI 1063715332
-
dba Inspira Medical Center Vineland
- General Acute Care Hospital
- Vineland, NJ
- NPI 1164487542
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1174559207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53 S LAUREL ST",
"address_2": "SECOND FLOOR",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021946",
"telephone_number": "856-451-4700",
"fax_number": "856-863-5732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 COHANSEY ST",
"city": "BRIDGETON",
"state": "NJ",
"postal_code": "083021918",
"telephone_number": "856-451-4700",
"fax_number": "856-451-0029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAIR",
"first_name": "PRABHA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA05991300",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.