Organization Active NPI

R-Health Primary Care Medical Home LLC

  • Primary Care Clinic/Center
  • Cherry Hill, NJ
National Provider Identifier
1639698574
Registry record updated Aug 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
MD068622L Issued in PA
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

Updated by the provider on Aug 19, 2019

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1417953720MedicaidPA

Other names 1

  • R-Health Cherry Hill Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2139620R Health Primary Care Medical Home1040 Kings Highway, Suite 104, Cherry Hill, NJ 08034Certificate of waiverNov 5, 2027

National Provider Directory

National Provider Directory
Tax ID family
R-Health Cherry Hill4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

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.

Verify at the official NPI Registry.