Individual provider Active NPI

Christian Michael Squillante, MD

  • Hematology & Oncology Physician
  • Voorhees, NJ
National Provider Identifier
1720212467
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
25MA09647400 Issued in NJ
Practice address
900 Centennial Blvd BLDG 1
Voorhees, NJ 08043-4637
Phone
(855) 632-2667
Fax
(856) 735-6478
NPI assigned
May 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 67276 MN
Hematology & Oncology Physician 207RH0003X 25MA09647400 NJ Primary

Addresses

Primary practice location

900 Centennial Blvd BLDG 1
Voorhees, NJ 08043-4637

Mailing address

1 Federal St # 200
Camden, NJ 08103-1088
Phone (848) 288-6935

Other practice location 1

2 Cooper Plz
Camden, NJ 08103-1461
Phone (855) 632-2667

Other practice location 2

1000 Rev Dr Martin Luther King Jr Dr Ste C
Willingboro, NJ 08046-2852
Phone (855) 632-2667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150723008732 NJ Practitioner - Hematology/Oncology 2961715610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Pennsylvania State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CMC Department of Medicine Group PAGroup PAC ID 2163335878, 474 clinicians

Practice addresses (Care Compare)

900 Centennial Blvd M
Voorhees, NJ 08043-4637
Phone (856) 325-6750

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Cape Regional Medical Center Inc Hospital, Cape May Court House, NJ, CCN 310011
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
67276MNMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Hematology & Oncology CurrentSince Jun 10, 2015 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jun 10, 2015 Accepting new patients

Locations

2 Cooper Plz
#400
Camden, NJ 08103
Phone (856) 342-2300

1 Federal St
#200
Camden, NJ 08103

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

2 Cooper Plz
Camden, NJ 08103
Phone (609) 342-7600

1 Federal St
#100
Camden, NJ 08103

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

900 Centennial Blvd
Bldg 1
Voorhees, NJ 08043
Phone (856) 325-6535

900 Centennial Blvd
Voorhees, NJ 08043
Phone (856) 325-6505

900 Centennial Blvd
Ste M
Voorhees, NJ 08043
Phone (856) 325-6750

1000 Rev Dr Martin Luther King Jr Dr
Ste C
Willingboro, NJ 08046

1000 Rev Dr Martin Luther King Jr Dr
Willingboro, NJ 08046
Phone (609) 871-2752

Interoperability endpoints

  • Direct secure messaging: csquillante40548@direct.cooperhealth.edu

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1720212467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FEDERAL ST # 200",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031088",
            "telephone_number": "848-288-6935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 CENTENNIAL BLVD BLDG 1",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434637",
            "telephone_number": "855-632-2667",
            "fax_number": "856-735-6478"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Cooper Plz",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031461",
            "country_code": "US",
            "telephone_number": "855-632-2667",
            "fax_number": "856-735-6478",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Rev Dr Martin Luther King Jr Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Willingboro",
            "state": "NJ",
            "postal_code": "080462852",
            "country_code": "US",
            "telephone_number": "855-632-2667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUILLANTE",
        "first_name": "CHRISTIAN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-11",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "MN",
            "license": "67276",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NJ",
            "license": "25MA09647400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.