Individual provider Active NPI

Clinton Rebello, MD

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1306226121
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD481798 Issued in PA
Practice address
1865 Route 70 East
Ste 210
Cherry Hill, NJ 08003-2013
Phone
(856) 427-4336
NPI assigned
Jun 6, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201003 AK
Military Health Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 171000000X
Family Medicine Physician 207Q00000X 01078834A IN
Family Medicine Physician 207Q00000X 25MA11691000 NJ
General Practice Physician 208D00000X 01078834A IN
Family Medicine Physician 207Q00000X MD481798 PA Primary

Addresses

Primary practice location

1865 Route 70 East
Ste 210
Cherry Hill, NJ 08003-2013

Mailing address

1865 Route 70 East
Ste 210
Cherry Hill, NJ 08003-2013
Phone (856) 427-4336

Other identifiers 1

IdentifierTypeStateIssuer
207Q00000XOtherVAFAMILY MEDICINE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230530000847 NJ Practitioner - Family Practice 3476856519 Reassigns benefits to 3 organizations
I20250103003370 PA Practitioner - Family Practice 3476856519 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

1865 Route 70 E 210
Family Med Cherry Hill
Cherry Hill, NJ 08003-2016
Phone (215) 662-6200

3400 Civic Ctr Blvd 2ND FLR W
Advanced Internal Med
Philadelphia, PA 19104-5127
Phone (215) 615-5252

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Virtua Home Care at West Jersey Home health agency, Marlton, NJ, CCN 317071
  • Jefferson Health at Home by Bayada Home health agency, Voorhees, NJ, CCN 317073
  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111
  • Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
  • Good Shepherd Penn Partners Long-term care hospital, Philadelphia, PA, CCN 392050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201003AKMDFamily Medicine Physician
01078834AINMDFamily Medicine Physician
MD481798PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn - Medical Group Multi-Specialty Current Accepting new patients
University of Penn-Medical Group Multi-Specialty CurrentSince Dec 18, 2024 Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. Multi-Specialty CurrentSince Jul 10, 2023 Accepting new patients
Harmonycares Complete Health Services of New Jersey, LLC Multi-Specialty CurrentSince Jan 1, 2026 Accepting new patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jul 10, 2023 Accepting new patients
University of Penn - Medical Group Multi-Specialty CurrentSince Dec 18, 2024 Accepting new patients
Signify Health Medical Associates of New Jersey, LLC Multi-Specialty CurrentSince Nov 8, 2023 Accepting new patients
University of Penn - Medical Group Multi-Specialty Past Accepting new patients

Locations

1865 Route 70 E
Ste 210
Cherry Hill, NJ 08003
Phone (856) 427-4336

1865 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 427-4336

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

5000 Dearborn Cir
Ste 100B
Mount Laurel, NJ 08054
Phone (215) 662-9563

116 Village Blvd
Ste 200
Princeton, NJ 08540
Phone (609) 285-3094

1006 Mantua Pike
Woodbury Hts, NJ 08097
Phone (856) 845-6880

3400 Civic Center Blvd
Fl 2
Philadelphia, PA 19104

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1433548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1306226121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "STE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032013",
            "telephone_number": "856-427-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 ROUTE 70 EAST",
            "address_2": "STE 210",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032013",
            "telephone_number": "856-427-4336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBELLO",
        "first_name": "CLINTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-06-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "201003",
            "primary": false
        },
        {
            "code": "171000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01078834A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA11691000",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IN",
            "license": "01078834A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD481798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY MEDICINE",
            "identifier": "207Q00000X",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.