Individual provider Active NPI

Chona Santos-Miranda, MD

  • Family Medicine Physician
  • Egg Harbor City, NJ
National Provider Identifier
1457383549
Registry record updated Sep 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06592600 Issued in NJ
Practice address
204 Philadelphia Ave
Egg Harbor City, NJ 08215
Phone
(609) 965-5700
Fax
(609) 965-5719
NPI assigned
Jul 7, 2006
Last updated
Sep 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25MA06592600 NJ Primary

Addresses

Primary practice location

204 Philadelphia Ave
Egg Harbor City, NJ 08215

Mailing address

630 Bellevue Ave
Hammonton, NJ 08037
Phone (609) 561-7548

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040816000394 NJ Practitioner - Family Practice 7618940990 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

630 Bellevue Ave
Hammonton, NJ 08037-1935
Phone (609) 564-7548

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06592600NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chona Santos-Miranda M.D.PC Family Medicine CurrentSince May 24, 2006 Accepting new patients

Locations

630 Bellevue Ave
Hammonton, NJ 08037
Phone (609) 561-7548

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284508800000",
    "number": "1457383549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BELLEVUE AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-561-7548",
            "fax_number": "609-561-7526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 PHILADELPHIA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "08215",
            "telephone_number": "609-965-5700",
            "fax_number": "609-965-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS-MIRANDA",
        "first_name": "CHONA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2010-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06592600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor City, NJ

Sources for this page

Verify at the official NPI Registry.