R-Health Primary Care Medical Home LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

R-HEALTH PRIMARY CARE MEDICAL HOME LLC

Doing business as

Triad Health Centre

Practice address

2 Cooper St
Camden, NJ 08102-2348

Phone

(856) 454-8985

Fax

(856) 250-1031

NPI assigned

Oct 18, 2019

Last updated

Oct 18, 2019By 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

Nancy Meisinger

Title

Chief Clinical & Operations Officer

Phone

(215) 600-4593

Specialties & licenses 1

Addresses

Other names 1

• Triad Health Centre Doing business as

Tax ID family

R-Health Primary Care Medical Home LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• R-Health Primary Care Medical Home LLC

  • Primary Care Clinic/Center
  • Ewing, NJ
  • NPI 1770034191
  NPD tax ID
• R-Health Primary Care Medical Home LLC

  dba R-Health West Orange

  • Primary Care Clinic/Center
  • West Orange, NJ
  • NPI 1952863490
  NPD tax ID

Locations

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

{
    "created_epoch": "1571356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571356800000",
    "number": "1316580632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 YORKTOWN PLZ",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271424",
            "telephone_number": "215-600-4590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 COOPER ST",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081022348",
            "telephone_number": "856-454-8985",
            "fax_number": "856-250-1031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "R-HEALTH PRIMARY CARE MEDICAL HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-18",
        "last_updated": "2019-10-18",
        "status": "A",
        "authorized_official_last_name": "MEISINGER",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CHIEF CLINICAL & OPERATIONS OFFICER",
        "authorized_official_telephone_number": "215-600-4593"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Triad Health Centre",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ernika Quimby, MD
• Caroline Elizabeth Quindlen, MD
• Shelaine Elizabeth Quinn, ACNP
• Tiffeny D Quinn, PT
• Mahir Qureshi, MD
• Glenda Rabie
• Savitha Racha, MD
• Jean-Sebastien K Rachoin, M.D.
• Michael Rachshtut, M.D.
• Ted Raddell, DO

• Primary Care Clinic/Center in Camden, NJ
• Providers in Camden, NJ by specialty
• Primary Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.