Active NPI
Marjorie A Chiavacci, CRNA
- Certified Registered Nurse Anesthetist
- Cherry Hill, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN286751L
- Practice address
- 408 Route 70 East
Cherry Hill, NJ 08034 - Phone
- (215) 829-3867
- Fax
- (215) 829-5567
- NPI assigned
- Jul 13, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN286751L | PA | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 26NR07942400 | NJ |
Addresses
Primary practice location
408 Route 70 East
Cherry Hill, NJ 08034
Mailing address
804 Scott Nixon Memorial Dr
Augusta, GA 30907-2464
Phone (800) 394-4445
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00614951 | Other | PA | RAILROAD MEDICARE |
| 50077109 | Other | PA | CAPIITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Society Hill Anesthesia Consultants, PC | Current | Accepting new patients | |
| Associates in Anesthesia, Inc. | Current | Accepting new patients | |
| Ultracare Anesthesia Partners LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of North America P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Society Hill Anesthesia Consultants of New Jersey, PC | Past | Accepting new patients | |
| Rancocas Anesthesiology, P.a. | Past | Accepting new patients | |
| Associates in Anesthesia | Past | Accepting new patients | |
| Clinical Pain Management Associates, PC | Past | Accepting new patients |
Locations
804 Scott Nixon Memorial Dr
Martinez, GA 30907
600 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 561-6700
2310 Highland Ave
Bethlehem, PA 18020
Phone (610) 691-4300
1212 Baltimore Pike
Ste 200
Chadds Ford, PA 19317
Phone (610) 874-4147
30 Medical Center Blvd
Ste 305
Chester, PA 19013
Phone (610) 619-7411
501 N Lansdowne Ave
Drexel Hill, PA 19026
Phone (610) 284-8100
1800 Byberry Rd
Ste 1101
Huntingdon Vy, PA 19006
Phone (215) 947-7992
9500 Roosevelt Blvd
Philadelphia, PA 19115
Phone (215) 969-1048
3340 S Broad St
Philadelphia, PA 19145
Phone (215) 453-1900
800 Spruce St
William Penn Annex West, PA 19107
Phone (215) 829-3867
100 E Lancaster Ave
Ste 158
Wynnewood, PA 19096
Phone (484) 206-5800
2752 Century Blvd
Wyomissing, PA 19610
Phone (610) 378-8800
1280 Broadcasting Rd
Wyomissing, PA 19610
Phone (215) 949-3100
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/0d26bd04-9128-4f58-8e6d-ffda5cd00f89/
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.
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1942281191
-
- Anesthesiology Physician
- Bethlehem, PA
- NPI 1972994820
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1427003219
-
- Anesthesiology Physician
- Philadelphia, PA
- NPI 1407236110
Nurse Anesthetist, Certified Registered
-
- Specialist
- Mount Laurel, NJ
- NPI 1427076553
-
- Anesthesiology Physician
- Cherry Hill, NJ
- NPI 1396797445
-
- Anesthesiology Physician
- Chadds Ford, PA
- NPI 1336470467
-
- Pain Medicine Physician
- Fairless Hills, PA
- NPI 1265488308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641686400000",
"number": "1306861935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 SCOTT NIXON MEMORIAL DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309072464",
"telephone_number": "800-394-4445",
"fax_number": "706-434-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 ROUTE 70 EAST",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "08034",
"telephone_number": "215-829-3867",
"fax_number": "215-829-5567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIAVACCI",
"first_name": "MARJORIE",
"middle_name": "A",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2022-01-09",
"certification_date": "2022-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN286751L",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NJ",
"license": "26NR07942400",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00614951",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPIITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE",
"identifier": "50077109",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cherry Hill, NJ
- Cherry Hill Women'S Center, Inc.
- Neal Andrew Cheskis, MSW, LCSW
- Nicole Joanna Chester, PT, MSR
- Jeanine Chiaffarano, DO
- April Lynn Chiarulli, PHARMD
- Zakiya Chikwendu
- Child & Adolescent Psychological Services LLC
- Child and Adolescent Psychiatry of Southern New Jersey
- Child Teen & Adult Matters Counseling LLC
- Victor Chin, BCBA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2022; 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.