NPIMap

Organization Active NPI

Children's Health Care Associates of New Jersey PC

Doing business as CHCA NJ Infectious Diseases

  • Pediatric Infectious Diseases Physician
  • Voorhees, NJ
National Provider Identifier
1689769606
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
Legal business name
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Doing business as
CHCA NJ Infectious Diseases
Practice address
1012 Laurel Oak Rd
Specialty Center at Voorhees - Chop
Voorhees, NJ 08043-3505
Phone
(856) 435-1300
Fax
(215) 977-8864
NPI assigned
Oct 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Denise D Harris
Title
Credentialing Coordinator
Phone
(215) 567-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X NU Primary

Addresses

Primary practice location

1012 Laurel Oak Rd
Specialty Center at Voorhees - Chop
Voorhees, NJ 08043-3505

Mailing address

100 N 20TH St Ste 301
Chca
Philadelphia, PA 19103-1454
Phone (215) 567-2422

Other identifiers 4

IdentifierTypeStateIssuer
8241601MedicaidNJ
0001025402MedicaidDE
0006558520006MedicaidPA
02278884MedicaidNY

Other names 1

  • CHCA NJ Infectious Diseases Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children's Healthcare Associates of New Jersey PC28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689769606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N 20TH ST STE 301",
            "address_2": "CHCA",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191031454",
            "telephone_number": "215-567-2422",
            "fax_number": "215-977-8864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 LAUREL OAK RD",
            "address_2": "SPECIALTY CENTER AT VOORHEES - CHOP",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433505",
            "telephone_number": "856-435-1300",
            "fax_number": "215-977-8864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "215-567-2422"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8241601",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001025402",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006558520006",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02278884",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHCA NJ Infectious Diseases",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Voorhees, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.