Christiana Care Health Initiatives
Organization Active NPI Family Medicine Physician · Woodstown, NJ
NPI 1699288803 · NPPES record last updated Mar 17, 2018
Key facts
- NPI
- 1699288803
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- CHRISTIANA CARE HEALTH INITIATIVES
- Practice address
- 125 East Ave Ste C
Woodstown, NJ 08098-1351 - Phone
- (856) 769-2800
- Fax
- (856) 769-4256
- NPI assigned
- Nov 9, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- CHRISTIANA CARE HEALTH INITIATIVES
Authorized official
- Name
- Aileen Abad
- Title
- Operations Coordinator
- Phone
- (302) 623-7362
Other NPIs on the same Medicare enrollment 2
Other NPIs with the same Medicare PAC ID 1
Practitioners 46
-
Kalpana Chintha, M.D.
-
Debby R Frazier, NP
-
Candacy George, D.O.
-
Heather Layman, FNP
-
Kristina M. Parkin, FNP
-
Jennifer B Entrekin, APN
-
Rosalie Walker, NP-C
-
Amanda E Deal, D.O.
-
Renai Kraytem, LCSW
-
Patricia Newton, APN
-
Brian J Pahlow, D.O.
-
Tiffany Strothers-Butler, FNP-C
-
Stacy A. Lourie, NP
-
Bulent R Zaim, M.D.
-
Blaire Alexis Delussa, PA-C
-
Vishesh Agarwal, M.D.
-
Auxilia Akala, APRN
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 |
National Provider Directory
- Part of
- Infusion SVCS of Delawa
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
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
- CCHI Family Medicine
- CCHI Family Practice NJ
Other providers in Woodstown, NJ
- Care Associates of Salem County PC
- Kimberly Renee Carter-Bowman
- Kalpana Chintha
- Christiana Care Health Initiatives
- Christiana Care Health Initiatives
- Connected Experiences LLC
- Davenport Psychological Associates, PA
- Daniel Alan Davenport
- David Andrew Davenport Sr.
- Amanda E Deal
All providers in Woodstown, NJ · Family Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.