Active NPI
Mae N Dechristy
- Family Nurse Practitioner
- Sewell, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 26NJ00791700
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PC
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
- West Jersey Hospital
- Hospital of Univ of Pennsylvania
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | 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 Healthcare Associates of New Jersey Specialty Practices PC | Current | 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. | Current | 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.
-
- Hematology & Oncology Physician
- Cherry Hill, NJ
- NPI 1104632546
NJ
-
- Pulmonary Disease Physician
- Cherry Hill, NJ
- NPI 1508019241
NJ
-
- Family Medicine Physician
- Cherry Hill, NJ
- NPI 1447260435
-
- Surgical Oncology Physician
- Cherry Hill, NJ
- NPI 1386093664
-
- Psychologist
- Plainsboro, NJ
- NPI 1235084971
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Plainsboro, NJ
- NPI 1457168270
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Voorhees, NJ
- NPI 1528064409
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1245207521
Hospital
-
- General Acute Care Hospital
- Philadelphia, PA
- NPI 1851370910
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.