Denise Nachodsky, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

25MA07886300 Issued in NJ

Practice address

2500 English Creek Ave
BLDG 900, Suite #904
Egg Harbor TWP, NJ 08234-5549

Phone

(609) 641-0012

Fax

(609) 569-1896

NPI assigned

Jun 3, 2006

Last updated

Mar 8, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268006400000",
    "number": "1326086026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 KRESSON RD",
            "address_2": "SUITE #101",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080343200",
            "telephone_number": "856-673-1321",
            "fax_number": "856-428-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "BLDG 900, SUITE #904",
            "city": "EGG HARBOR TWP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-641-0012",
            "fax_number": "609-569-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NACHODSKY",
        "first_name": "DENISE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2010-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "25MA07886300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077054",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Caucci McIntyre, PA-C
• Med a Quest, LLC
• Med a Quest, LLC
• Nathan Morell, LCSW
• Kim Murphy, MPT
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• National Mentor Healthcare, LLC (New Jersey MENTOR)
• New Jersey Health Network LLC
• NJR Healthcare, P.C. (Dr. Alan H. Faustino)
• Tina C Nolan, LCSW

• Cardiovascular Disease Physician in Egg Harbor TWP, NJ
• Providers in Egg Harbor TWP, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2010; 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.