Active NPI
Christine Jackson Hart, DO
- Pediatrics Physician
- Moorestown, NJ
National Provider Identifier
1669960035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 25MB12627100
- Practice address
- 200 Marter Ave Ste 100
Moorestown, NJ 08057-3147 - Phone
- (856) 235-2147
- NPI assigned
- May 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | OS024761 | PA | |
| Pediatrics Physician | 208000000X | 5101026399 | MI | |
| Pediatrics Physician | 208000000X | 25MB12627100 | NJ | Primary |
Addresses
Primary practice location
200 Marter Ave Ste 100
Moorestown, NJ 08057-3147
Mailing address
200 Marter Ave Ste 100
Moorestown, NJ 08057-3147
Phone (856) 235-2147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101026399 | MI | MD | Pediatrics Physician |
| 25MB12627100 | NJ | MD | Pediatrics Physician |
| OS024761 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| Chop Clinical Associates, Inc. | Pediatrics | Past | Accepting new patients |
| Detroit Wayne County Health Authority | Past | Accepting new patients | |
| Partners in Wellness | Past | Accepting new patients |
Locations
3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
3950 Beaubien St
Detroit, MI 48201
Phone (313) 745-5437
Interoperability endpoints
- https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4
- chart951588@direct.hfhs.org
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- Pediatrics Physician
- Smithville, NJ
- NPI 1669552451
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1962733089
-
- Family Medicine Physician
- Detroit, MI
- NPI 1518461524
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752105600000",
"number": "1669960035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 MARTER AVE STE 100",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573147",
"telephone_number": "856-235-2147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MARTER AVE STE 100",
"city": "MOORESTOWN",
"state": "NJ",
"postal_code": "080573147",
"telephone_number": "856-235-2147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HART",
"first_name": "CHRISTINE",
"middle_name": "JACKSON",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-01",
"last_updated": "2025-07-10",
"certification_date": "2025-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "OS024761",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101026399",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MB12627100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moorestown, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.