Rengena E. Chan-Ting, DO

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

25MB08786100 Issued in NJ

Practice address

2475 McClellan Ave
Building C
Pennsauken, NJ 08109-4683

Phone

(856) 675-3355

Fax

(856) 675-3686

NPI assigned

Sep 26, 2006

Last updated

Nov 9, 2021By 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 3

Addresses

Electronic endpoints 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

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.

• Complete Care at Voorhees LLC

  • Skilled Nursing Facility
  • Voorhees, NJ
  • NPI 1376125203
  NPD (past)
• Florida Care Level Management Direct, LLC

  • General Practice Physician
  • Calabasas, CA
  • NPI 1770569220
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1326149576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 MCCLELLAN AVE",
            "address_2": "BUILDING C",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094683",
            "telephone_number": "856-675-3355",
            "fax_number": "856-675-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 MCCLELLAN AVE",
            "address_2": "BUILDING C",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081094683",
            "telephone_number": "856-675-3355",
            "fax_number": "856-675-3686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAN-TING",
        "first_name": "RENGENA",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9575",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "223728",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "NJ",
            "license": "25MB08786100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "trinity.health.life.new.jersey@trinityhealthpa.medicity.net",
            "affiliation": "N",
            "endpointDescription": "Trinity Health LIFE New Jersey Direct email address",
            "address_1": "2475 McClellan Ave",
            "address_2": "Building C",
            "city": "Pennsauken",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "081094683",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gigi Cheng, PHARM D.
• Mariah Cherry, BCABA
• Martin Ciner, PT
• Ashley Clark

• Hospice and Palliative Medicine (Internal Medicine) Physician in Pennsauken, NJ
• Providers in Pennsauken, NJ by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.

Verify at the official NPI Registry.