Charles Michael Defendorf, D.O.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25MB10843300 Issued in NJ

Practice address

2 Centre Dr Ste 200
Monroe Township, NJ 08831-1564

Phone

(609) 395-2470

NPI assigned

Mar 3, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Internal Medicine

Education

Rowan University School of Osteopathic Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Clinical Health Care Associates of New Jersey PCGroup PAC ID 0749180198, 793 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Penn Medicine Home Health Princeton Health Home health agency, Princeton, NJ, CCN 317045
• University Medical Center of Princeton at Plainsboro Hospital, Plainsboro, NJ, CCN 310010
• Saint Peter'S University Hospital Hospital, New Brunswick, NJ, CCN 310070

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Clinical Health Care Associates of New Jersey, P.C.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1447260435

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Clinical Health Care Associates of New Jersey, PC

  • Otolaryngology Physician
  • Hillsborough, NJ
  • NPI 1962977249
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Plainsboro, NJ
  • NPI 1518194323
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Family Medicine Physician
  • Robbinsville, NJ
  • NPI 1548604697
  NPD
• Princeton Healthcare Affiliated Physicians PC

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1770176372
  NPD
• Dept. of Med, C/O Carl O'Brien Dba Princeton Hosp. Medical Assocs.

  • Internal Medicine Physician
  • Princeton, NJ
  • NPI 1215957519
  NPD (past)

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

• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • General Acute Care Hospital
  • Plainsboro, NJ
  • NPI 1689714255
  Care Compare affiliation
• Princeton Healthcare System, a New Jersey Non-Profit Corporation

  • Home Health Agency
  • Princeton, NJ
  • NPI 1760524052
  Care Compare affiliation
• Saint Peter'S University Hospital

  • General Acute Care Hospital
  • New Brunswick, NJ
  • NPI 1114924834
  Care Compare affiliation

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1720528284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CENTRE DR STE 200",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311564",
            "telephone_number": "609-395-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTRE DR STE 200",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088311564",
            "telephone_number": "609-395-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFENDORF",
        "first_name": "CHARLES",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MB10843300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Internal Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.