Cherry Hill Family Practice, P.a.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05550800 Issued in NJ

Legal business name

CHERRY HILL FAMILY PRACTICE, P.A.

Practice address

401 Cooper Landing Rd
Suite C-22
Cherry Hill, NJ 08002-2517

Phone

(856) 779-7779

Fax

(856) 779-7790

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Steven Michael Sirken, D.O.

Title

Physician/Owner

Phone

(856) 779-7779

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1548358641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COOPER LANDING RD",
            "address_2": "SUITE C-22",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022517",
            "telephone_number": "856-779-7779",
            "fax_number": "856-779-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COOPER LANDING RD",
            "address_2": "SUITE C-22",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022517",
            "telephone_number": "856-779-7779",
            "fax_number": "856-779-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHERRY HILL FAMILY PRACTICE, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "SIRKEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "856-779-7779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05550800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5226201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.