NPIMap

Organization Active NPI

Christiana Care Health Initiatives

Doing business as CCHI Family Medicine

  • Family Medicine Physician
  • Woodstown, NJ
National Provider Identifier
1699288803
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CHRISTIANA CARE HEALTH INITIATIVES
Doing business as
CCHI Family Medicine
CCHI Family Practice NJ
Practice address
125 East Ave Ste C
Woodstown, NJ 08098-1351
Phone
(856) 769-2800
Fax
(856) 769-4256
NPI assigned
Nov 9, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTIANA CARE HEALTH INITIATIVESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Aileen Abad
Title
Operations Coordinator
Phone
(302) 623-7362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

125 East Ave Ste C
Woodstown, NJ 08098-1351

Mailing address

200 Hygeia Dr
Newark, DE 19713-2049
Phone (302) 623-7362

Other practice location 1

341 Shell Rd
Carneys Point, NJ 08069-2743
Phone (856) 299-4600

Other names 2

  • CCHI Family Medicine Doing business as
  • CCHI Family Practice NJ Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180425000011 NJ Part B Supplier - Clinic/Group Practice 2466351481 Receives reassigned benefits from 23 practitioners
2 other NPIs on this enrollment
Practice locations: Carneys Point, NJ; Woodstown, NJ

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Christiana Imaging Ctr

Locations

125 East Ave
Ste D
Woodstown, NJ 08098
Phone (856) 769-3900

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1510185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1699288803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HYGEIA DR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132049",
            "telephone_number": "302-623-7362",
            "fax_number": "302-623-0394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EAST AVE STE C",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981351",
            "telephone_number": "856-769-2800",
            "fax_number": "856-769-4256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 Shell Rd",
            "address_purpose": "LOCATION",
            "city": "Carneys Point",
            "state": "NJ",
            "postal_code": "080692743",
            "country_code": "US",
            "telephone_number": "856-299-4600",
            "fax_number": "302-856-1688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIANA CARE HEALTH INITIATIVES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTIANA CARE HEALTH INITIATIVES",
        "enumeration_date": "2017-11-09",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ABAD",
        "authorized_official_first_name": "AILEEN",
        "authorized_official_title_or_position": "OPERATIONS COORDINATOR",
        "authorized_official_telephone_number": "302-623-7362"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CCHI Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CCHI Family Practice NJ",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstown, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.