Christian Medical Centre, PC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

25MA091266300 Issued in NJ

Legal business name

CHRISTIAN MEDICAL CENTRE, PC

Practice address

897 Parkway Ave
Ewing, NJ 08618-2305

Phone

(856) 344-9009

Fax

(856) 997-9262

NPI assigned

Sep 9, 2016

Organization subpart

No

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

Authorized official

Name

Wayne A Shaw, MD

Title

Owner

Phone

(609) 469-4673

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14372/brand/1/csg/1/fhir/r4

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Veronica Rodriguez

  • Other Specialist/Technologist
  • Philadelphia, PA
  • NPI 1649090069

  Single Specialty

  NPD

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1437606100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "897 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182305",
            "telephone_number": "856-344-9009",
            "fax_number": "856-997-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "897 PARKWAY AVE",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086182305",
            "telephone_number": "856-344-9009",
            "fax_number": "856-997-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN MEDICAL CENTRE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "SHAW",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-469-4673",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NJ",
            "license": "25MA091266300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0302457",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ghazali Anwar Chaudry, M.D.
• Hazel Ninobla Chavez
• Marc T.a. Chianese, M.S., D.C.
• Dana Njideka Chijindu, BS
• Heather Marie Chiricolo, M.D.
• Barbara Ellen Clark, APN-C
• Joanne Clodomir, MA, CASACT, LPC
• Alicia Christine Clymer, PA-C
• Coastal Physical Therapy Center LLC
• Craig Cocchio, PHARM.D.

• Multi-Specialty Clinic/Center in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Multi-Specialty Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.