Organization Active NPI

Cherry Hill Pediatric Group

  • Pediatrics Physician
  • Cherry Hill, NJ
National Provider Identifier
1447318167
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHERRY HILL PEDIATRIC GROUP
Practice address
600 Marlton Pike W
Cherry Hill, NJ 08002-3598
Phone
(856) 428-5020
Fax
(856) 216-9433
NPI assigned
Dec 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Ms. Joanne S
Title
Administrator Assistant
Phone
(856) 428-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X NJ Primary

Addresses

Primary practice location

600 Marlton Pike W
Cherry Hill, NJ 08002-3598

Mailing address

600 Marlton Pike W
Cherry Hill, NJ 08002-3598
Phone (856) 428-5020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1447318167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MARLTON PIKE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023598",
            "telephone_number": "856-428-5020",
            "fax_number": "856-216-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MARLTON PIKE W",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080023598",
            "telephone_number": "856-428-5020",
            "fax_number": "856-216-9433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL PEDIATRIC GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "S",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_title_or_position": "ADMINISTRATOR ASSISTANT",
        "authorized_official_telephone_number": "856-428-5020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.