Individual provider Active NPI

Mae N Dechristy

  • Family Nurse Practitioner
  • Sewell, NJ
National Provider Identifier
1609374479
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00791700 Issued in NJ
Practice address
239 Hurfville-Cross Keys Road
Suite 480
Sewell, NJ 08080-4009
Phone
(856) 404-9719
Fax
(856) 629-2214
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00791700 NJ Primary

Addresses

Primary practice location

239 Hurfville-Cross Keys Road
Suite 480
Sewell, NJ 08080-4009

Mailing address

239 Hurfville-Cross Keys Road
Suite 480
Sewell, NJ 08080-4009
Phone (856) 404-9719

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180216000725 NJ Practitioner - Nurse Practitioner 9537429394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Healthcare Associates of New Jersey Specialty Practices PCGroup PAC ID 9335655026, 43 clinicians

Practice addresses (Care Compare)

1865 Marlton Pike E
Penn Palliative Care Cherry Hill
Cherry Hill, NJ 08003-2005
Phone (856) 429-1519

Hospital & facility affiliations

  • Penn Presbyterian Medical Center Hospital, Philadelphia, PA, CCN 390223
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Health Care Associates of New Jersey, PC CurrentSince Jan 22, 2018 Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC CurrentSince Jun 1, 2025 Accepting new patients
Clinical Health Care Associates of New Jersey, PC Current Accepting new patients
Clinical Healthcare Associates of New Jersey Specialty Practices PC Current Accepting new patients
Clinical Health Care Associates of New Jersey, P.C. CurrentSince Jan 22, 2018 Accepting new patients

Locations

1865 Route 70 E
Ste 220
Cherry Hill, NJ 08003
Phone (856) 429-0505

3205 Fire Rd
Egg Hbr Twp, NJ 08234
Phone (609) 407-1113

5 Plainsboro Rd
Ste 540
Plainsboro, NJ 08536
Phone (609) 853-6590

239 Hurffville Crosskeys Rd
Ste 480
Sewell, NJ 08080
Phone (267) 974-4835

200 Bowman Dr
Ste E125
Voorhees, NJ 08043
Phone (856) 336-2641

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1609374479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 HURFVILLE-CROSS KEYS ROAD",
            "address_2": "SUITE 480",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804009",
            "telephone_number": "856-404-9719",
            "fax_number": "856-629-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 HURFVILLE-CROSS KEYS ROAD",
            "address_2": "SUITE 480",
            "city": "SEWELL",
            "state": "NJ",
            "postal_code": "080804009",
            "telephone_number": "856-404-9719",
            "fax_number": "856-629-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECHRISTY",
        "first_name": "MAE",
        "middle_name": "N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00791700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sewell, NJ

Sources for this page

Verify at the official NPI Registry.