NPIMap

Organization Active NPI

Chop Clinical Associates, PC

  • Pediatrics Physician
  • Cinnaminson, NJ
National Provider Identifier
1609956440
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHOP CLINICAL ASSOCIATES, PC
Practice address
2099 New Albany Road
Cinnaminson, NJ 08054
Phone
(856) 235-2147
Fax
(856) 235-6905
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Thomas Todorow
Title
VP Finance
Phone
(267) 426-6940

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X NJ Primary

Addresses

Primary practice location

2099 New Albany Road
Cinnaminson, NJ 08054

Mailing address

301 Lindenwood Drive
Suite 350
Malvern, PA 19355
Phone (215) 590-2897

Other identifiers 1

IdentifierTypeStateIssuer
2591502MedicaidNJ

Other names 1

  • Kids First Cinnaminson Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chop Clinical Associates12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

301 Lindenwood Dr
Ste 350
Malvern, PA 19355
Phone (215) 590-2897

Ownership & related parties

Subparts reporting this organization as parent 8

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609956440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LINDENWOOD DRIVE",
            "address_2": "SUITE 350",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "19355",
            "telephone_number": "215-590-2897",
            "fax_number": "215-590-0325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2099 NEW ALBANY ROAD",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "856-235-2147",
            "fax_number": "856-235-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOP CLINICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TODOROW",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "VP FINANCE",
        "authorized_official_telephone_number": "267-426-6940"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2591502",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids First Cinnaminson",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cinnaminson, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.