Organization Active NPI

Chona Santos-Miranda M.D.PC

  • Family Medicine Physician
  • Egg Harbor City, NJ
National Provider Identifier
1720009830
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25MA06592600 Issued in NJ
Legal business name
CHONA SANTOS-MIRANDA M.D.PC
Practice address
217 Philadelphia Ave
Egg Harbor City, NJ 08215-1330
Phone
(609) 965-5700
Fax
(609) 965-5719
NPI assigned
Jul 22, 2006
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
Dr. Chona Santos-Miranda, M.D.NPI 1457383549
Title
President
Phone
(609) 965-5700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 25MA06592600 NJ Primary

Addresses

Primary practice location

217 Philadelphia Ave
Egg Harbor City, NJ 08215-1330

Mailing address

630 Bellevue Ave
Hammonton, NJ 08037-1935
Phone (609) 965-5700

Other names 1

  • EGG HARBOR MEDICAL CENTER Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061005000462 NJ Part B Supplier - Clinic/Group Practice 3375547714 Receives reassigned benefits from 1 practitioner
Practice locations: Egg Harbor City, NJ; Hammonton, NJ

National Provider Directory

National Provider Directory

Locations

217 Philadelphia Ave
Egg Harbor Cy, NJ 08215
Phone (609) 593-3190

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720009830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 BELLEVUE AVE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371935",
            "telephone_number": "609-965-5700",
            "fax_number": "609-965-5719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 PHILADELPHIA AVE",
            "city": "EGG HARBOR CITY",
            "state": "NJ",
            "postal_code": "082151330",
            "telephone_number": "609-965-5700",
            "fax_number": "609-965-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHONA SANTOS-MIRANDA M.D.PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SANTOS-MIRANDA",
        "authorized_official_first_name": "CHONA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-965-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA06592600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EGG HARBOR MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Egg Harbor City, 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.
  • 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.