Individual provider Active NPI

Racine B Zechowy, MD

  • Pediatrics Physician
  • Marlton, NJ
National Provider Identifier
1679669618
Registry record updated Dec 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MA06423600 Issued in NJ
Practice address
127 Church Rd Ste 800
Marlton, NJ 08053-9425
Phone
(856) 988-7899
Fax
(856) 988-9499
NPI assigned
Oct 5, 2006
Last updated
Dec 5, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 25MA06423600 NJ Primary

Addresses

Primary practice location

127 Church Rd Ste 800
Marlton, NJ 08053-9425

Mailing address

500 Grove St
Suite 100
Haddon Heights, NJ 08035-1761
Phone (856) 796-9207

Other practice location 1

1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3700

Other identifiers 1

IdentifierTypeStateIssuer
7464002MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223000617 NJ Practitioner - Pediatric Medicine 4981988722 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25MA06423600NJMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakewood Resource and Referral Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Lakewood Resource and Referral Center, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Camcare Health Corporation CurrentSince Jan 13, 2023 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Nov 26, 2018 Accepting new patients
Camcare Health Corporation Current Accepting new patients
Camcare Health Corporation CurrentSince Jan 13, 2023 Accepting new patients
Advocare , LLC CurrentSince Nov 26, 2018 Accepting new patients
Virtua - West Jersey Health System, Inc. Past Accepting new patients
The Cooper Health System Past Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. Past Accepting new patients

Locations

169 Mine Brook Rd
#P
Bernardsville, NJ 07924
Phone (908) 766-0034

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

121 White Horse Pike
Clementon, NJ 08021
Phone (856) 627-7701

500 Grove St
Ste 100
Haddon Heights, NJ 08035
Phone (856) 796-9200

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

1771 Madison Ave
Lakewood, NJ 08701
Phone (732) 364-2144

127 Church Rd
Ste 800
Marlton, NJ 08053
Phone (856) 988-7899

Interoperability endpoints

  • Direct secure messaging: racine.zechowy@firststeppediatrics.chartmakerdirect.com
  • Direct secure messaging: rzechowy652234@direct.ochin.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543968000000",
    "number": "1679669618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GROVE ST",
            "address_2": "SUITE 100",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351761",
            "telephone_number": "856-796-9207",
            "fax_number": "856-796-9397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 CHURCH RD STE 800",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080539425",
            "telephone_number": "856-988-7899",
            "fax_number": "856-988-9499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Haddon Ave",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081033109",
            "country_code": "US",
            "telephone_number": "856-757-3700",
            "fax_number": "856-365-7972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZECHOWY",
        "first_name": "RACINE",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2018-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MA06423600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7464002",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.