Clementon Family Practice & Ambulatory Care

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CLEMENTON FAMILY PRACTICE & AMBULATORY CARE

Practice address

657 Blackwood Clementon Road
Lindenwold, NJ 08021

Phone

(856) 566-8325

Fax

(856) 566-8326

NPI assigned

Mar 2, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Pradip N PatelNPI 1295814747

Title

MD

Phone

(856) 566-8325

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

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

CLIA laboratory certificates

Practitioners 1

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

• Pradip N Patel, MD

  • Family Medicine Physician
  • Lindenwold, NJ
  • NPI 1295814747
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1669770533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "657 BLACKWOOD CLEMENTON ROAD",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-566-8325",
            "fax_number": "856-566-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "657 BLACKWOOD CLEMENTON ROAD",
            "city": "LINDENWOLD",
            "state": "NJ",
            "postal_code": "08021",
            "telephone_number": "856-566-8325",
            "fax_number": "856-566-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEMENTON FAMILY PRACTICE & AMBULATORY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "PRADIP",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "856-566-8325",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen M Boxer Goldfarb, CRNP
• Broadstep Academy-New Jersey, Inc.
• Donald R Cannon, M.D.
• Capitol Health Associates Inc
• Caring Strategies LLC
• Brianna Coleman
• Julia Coleman, PA-C
• Stephen Coleman, SLP
• Comfort Care Staffing
• Cooper Dental Inc

• Family Medicine Physician in Lindenwold, NJ
• Providers in Lindenwold, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.