Organization Active NPI

Critical Care Associates of Delaware Valley

  • Critical Care Medicine (Internal Medicine) Physician
  • Cherry Hill, NJ
National Provider Identifier
1740209774
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
CRITICAL CARE ASSOCIATES OF DELAWARE VALLEY
Practice address
108 Kings Hwy S
Cherry Hill, NJ 08034-2504
Phone
(856) 429-1800
Fax
(856) 429-1081
NPI assigned
Jul 19, 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
Natalie P Pope
Title
Manager
Phone
(856) 429-1800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X Primary

Addresses

Primary practice location

108 Kings Hwy S
Cherry Hill, NJ 08034-2504

Mailing address

108 Kings Hwy S
Cherry Hill, NJ 08034-2504
Phone (856) 429-1800

Other identifiers 1

IdentifierTypeStateIssuer
0069485MedicaidNJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740209774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342504",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 KINGS HWY S",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080342504",
            "telephone_number": "856-429-1800",
            "fax_number": "856-429-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE ASSOCIATES OF DELAWARE VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "856-429-1800"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0069485",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.