Active NPI
Chona Santos-Miranda M.D.PC
- Family Medicine Physician
- Egg Harbor City, NJ
National Provider Identifier
1720009830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 25MA06592600
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Egg Harbor City, NJ
- NPI 1457383549
-
- Chiropractor
- Egg Harbor City, NJ
- NPI 1306839303
-
- Family Medicine Physician
- Fort Bragg, NC
- NPI 1740217249
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.