NPIMap

Organization Active NPI

Children's Health Care Associates of New Jersey PC

Doing business as CHCA NJ Hematology & Oncology

  • Pediatric Hematology & Oncology Physician
  • Voorhees, NJ
National Provider Identifier
1699860619
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Hematology & Oncology PhysicianTaxonomy code 2080P0207X
Legal business name
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Doing business as
CHCA NJ Hematology & Oncology
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
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
Michael Corbo
Title
Finance Officer
Phone
(215) 567-2422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Hematology & Oncology Physician 2080P0207X 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
02278884MedicaidNY
0006558520006MedicaidPA

Other names 1

  • CHCA NJ Hematology & Oncology Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031229000053 NJ Part B Supplier - Clinic/Group Practice 1052219110 Receives reassigned benefits from 193 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Voorhees, NJ; Woodbury, NJ; Vineland, NJ; Somers Point, NJ; Princeton, NJ; Pomona, NJ; New Brunswick, NJ; Mount Holly, NJ…

Other NPIs on the same Medicare enrollment 20

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

View all 20

National Provider Directory

National Provider Directory
Tax ID family
Childrens Health Care Assoc28 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": "1292889600000",
    "number": "1699860619",
    "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": "215-561-0959"
        },
        {
            "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": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "CORBO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "FINANCE OFFICER",
        "authorized_official_telephone_number": "215-567-2422"
    },
    "taxonomies": [
        {
            "code": "2080P0207X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Hematology-Oncology",
            "state": null,
            "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": "02278884",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006558520006",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHCA NJ Hematology & Oncology",
            "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 Dec 21, 2010; 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.