NPIMap

Organization Active NPI

Chop Clinical Associates, Inc

Doing business as Care Network Somers Point

  • Pediatrics Physician
  • Somers Point, NJ
National Provider Identifier
1619057437
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
CHOP CLINICAL ASSOCIATES, INC
Doing business as
Care Network Somers Point
Practice address
505 Bay Ave. Bayside Commons. Suite 101
Somers Point, NJ 08244-2563
Phone
(609) 927-4235
Fax
(609) 927-5590
NPI assigned
Oct 16, 2006
Last updated
Jan 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CHOP CLINICAL ASSOCIATES, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Fabian Stone
Title
VP Revenue Cycle
Phone
(267) 425-5765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NJ Primary

Addresses

Primary practice location

505 Bay Ave. Bayside Commons. Suite 101
Somers Point, NJ 08244-2563

Mailing address

3401 Civic Center Blvd
Philadelphia, PA 19104-4319

Other identifiers 1

IdentifierTypeStateIssuer
3398901MedicaidNJ

Other names 1

  • Care Network Somers Point Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Chop Clinical Associates PC12 organizations share this tax ID, including this one
Part of
Chop Clinical Associates PC

Other organizations with this tax ID 11

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

Locations

200 Larchmont Blvd
Mount Laurel, NJ 08054

505 Bay Ave
Somers Point, NJ 08244
Phone (609) 653-0020

1700 Horizon Dr
Ste 200
Chalfont, PA 18914
Phone (215) 822-7700

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": "1737504000000",
    "number": "1619057437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CIVIC CENTER BLVD",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 BAY AVE. BAYSIDE COMMONS. SUITE 101",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442563",
            "telephone_number": "609-927-4235",
            "fax_number": "609-927-5590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOP CLINICAL ASSOCIATES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHOP CLINICAL ASSOCIATES, INC",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "FABIAN",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "267-425-5765"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3398901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Network Somers Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Care Network Somers Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somers Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.