Active NPI
Erin Chini, APN
- Adult Health Nurse Practitioner
- Sicklerville, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 26NJ00248300
- Practice address
- 485 Williamstown New Freedom Rd
Sicklerville, NJ 08081-1777 - Phone
- (856) 237-8100
- Fax
- (856) 237-8042
- NPI assigned
- Jan 19, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | SP010152 | PA | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00248300 | NJ | Primary |
Addresses
Primary practice location
485 Williamstown New Freedom Rd
Sicklerville, NJ 08081-1777
Mailing address
137 High St
FL 2a
Mount Holly, NJ 08060-1476
Phone (609) 474-0120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0227331 | Medicaid | NJ |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100407000124 | NJ | Practitioner - Nurse Practitioner | 9335295732 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ennoble HC NJ PC | Current | Accepting new patients | |
| Ennoble HC NJ III PC | Current | Accepting new patients | |
| Ennoble HC NJ II PC | Current | Accepting new patients | |
| Clare Medical of New Jersey LLC | Current | Accepting new patients |
Locations
2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142
137 High St
Fl 2A
Mount Holly, NJ 08060
Phone (609) 474-0120
137 High St
Ste 2A
Mount Holly, NJ 08060
Phone (609) 447-3442
1000 Haddonfield Berlin Rd
Ste 205
Voorhees, NJ 08043
Phone (973) 241-1356
Interoperability endpoints
- https://api.platform.athenahealth.com/11700/brand/1/csg/1/fhir/r4
- erin.chini.1@11700.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Mount Holly, NJ
- NPI 1255718276
NJ
-
- Geriatric Medicine (Family Medicine) Physician
- Hackensack, NJ
- NPI 1043192099
NJ
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648771200000",
"number": "1609013267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 HIGH ST",
"address_2": "FL 2A",
"city": "MOUNT HOLLY",
"state": "NJ",
"postal_code": "080601476",
"telephone_number": "609-474-0120",
"fax_number": "609-474-0121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "485 WILLIAMSTOWN NEW FREEDOM RD",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811777",
"telephone_number": "856-237-8100",
"fax_number": "856-237-8042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHINI",
"first_name": "ERIN",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-19",
"last_updated": "2022-04-01",
"certification_date": "2022-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "PA",
"license": "SP010152",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00248300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0227331",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.