Active NPI
Cortney Shana Griffin, APN
- Nurse Practitioner
- Hainesport, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 26NJ00701900
- Practice address
- 310 Creek Crossing Blvd
Hainesport, NJ 08036-2767 - Phone
- (609) 702-0014
- Fax
- (609) 702-7225
- NPI assigned
- Oct 9, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 26NJ00701900 | NJ | Primary |
Addresses
Primary practice location
310 Creek Crossing Blvd
Hainesport, NJ 08036-2767
Mailing address
301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 355-0340
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cgriffin182669@directvirtua.org |
Medicare participation
Medicare enrollment files- 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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
310 Creek Crossing Blvd
Hainesport, NJ 08036-2767
Phone (609) 702-0014
3242 Route 206
Bordentown, NJ 08505-4517
Hospital & facility affiliations
- Virtua Mount Holly Hospital
- Virtua Willingboro Hospital
- West Jersey Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00701900 | NJ | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Nurse Practitioner | Current | Accepting new patients |
| Virtua Medical Group, PA | Current | Accepting new patients |
Locations
3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340
811 Sunset Rd
Burlington, NJ 08016
Phone (609) 387-9242
310 Creek Crossing Blvd
Hainesport, NJ 08036
Phone (609) 702-0014
303 Lippincott Dr
Marlton, NJ 08053
141 Route 70 E
Ste E
Marlton, NJ 08053
Phone (856) 985-7373
301 Lippincott Dr
Ste 410
Marlton, NJ 08053
Interoperability endpoints
- cgriffin182669@directvirtua.org
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Marlton, NJ
- NPI 1649226515
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mount Holly, NJ
- NPI 1134125016
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
-
- General Acute Care Hospital
- Willingboro, NJ
- NPI 1053316844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609286400000",
"number": "1407366164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 LIPPINCOTT DR STE 410",
"city": "MARLTON",
"state": "NJ",
"postal_code": "080534197",
"telephone_number": "856-355-0340",
"fax_number": "856-355-0330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 CREEK CROSSING BLVD",
"city": "HAINESPORT",
"state": "NJ",
"postal_code": "080362767",
"telephone_number": "609-702-0014",
"fax_number": "609-702-7225"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "CORTNEY",
"middle_name": "SHANA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-09",
"last_updated": "2020-12-30",
"certification_date": "2020-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NJ",
"license": "26NJ00701900",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cgriffin182669@directvirtua.org",
"affiliation": "N",
"address_1": "310 Creek Crossing Blvd",
"city": "Hainesport",
"state": "NJ",
"country_code": "US",
"postal_code": "080362767",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hainesport, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.