Active NPI
R-Health Primary Care Medical Home LLC
- Primary Care Clinic/Center
- Cherry Hill, NJ
National Provider Identifier
1639698574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- MD068622L
- Legal business name
- R-HEALTH PRIMARY CARE MEDICAL HOME LLC
- Practice address
- 1040 Kings Hwy N
Cherry Hill, NJ 08034-1908 - Phone
- (215) 600-4590
- NPI assigned
- Sep 12, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nancy Meisinger
- Title
- Chief Clinical & Operations Officer
- Phone
- (215) 600-4593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | MD068622L | PA | Primary |
Addresses
Primary practice location
1040 Kings Hwy N
Cherry Hill, NJ 08034-1908
Mailing address
210 Yorktown PLZ
Elkins Park, PA 19027-1424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417953720 | Medicaid | PA |
Other names 1
- R-Health Cherry Hill
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2139620 | R Health Primary Care Medical Home | Certificate of waiver | Nov 5, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- R-Health Cherry Hill
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Primary Care Clinic/Center
- Voorhees, NJ
- NPI 1194244038
-
- Primary Care Clinic/Center
- Hamilton, NJ
- NPI 1649799586
-
- Primary Care Clinic/Center
- New Brunswick, NJ
- NPI 1801315742
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505174400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566172800000",
"number": "1639698574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 YORKTOWN PLZ",
"city": "ELKINS PARK",
"state": "PA",
"postal_code": "190271424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 KINGS HWY N",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341908",
"telephone_number": "215-600-4590"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R-HEALTH PRIMARY CARE MEDICAL HOME LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-12",
"last_updated": "2019-08-19",
"status": "A",
"authorized_official_last_name": "MEISINGER",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "CHIEF CLINICAL & OPERATIONS OFFICER",
"authorized_official_telephone_number": "215-600-4593"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "PA",
"license": "MD068622L",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1417953720",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "R-Health Cherry Hill",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Cherry Hill, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.