NPIMap

Organization Active NPI

Healthcare Commons, Inc.

  • Community/Behavioral Health Agency
  • Carneys Point, NJ
National Provider Identifier
1790204584
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HEALTHCARE COMMONS, INC.
Practice address
500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936
Phone
(856) 299-3200
Fax
(856) 716-5660
NPI assigned
Sep 13, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Rahel Andemicael
Title
Ceo/ President
Phone
(856) 299-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936

Mailing address

500 S Pennsville Auburn Rd
Carneys Point, NJ 08069-2936
Phone (856) 299-3200

Other identifiers 4

IdentifierTypeStateIssuer
4544803MedicaidNJ
0020150MedicaidNJ
0040801MedicaidNJ
4550501MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080303000234 NJ Part B Supplier - Clinic/Group Practice 0547344434 Receives reassigned benefits from 11 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Carneys Point, NJ

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Healthcare Commons Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1790204584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 S PENNSVILLE AUBURN RD",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692936",
            "telephone_number": "856-299-3200",
            "fax_number": "856-716-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S PENNSVILLE AUBURN RD",
            "city": "CARNEYS POINT",
            "state": "NJ",
            "postal_code": "080692936",
            "telephone_number": "856-299-3200",
            "fax_number": "856-716-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHCARE COMMONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "ANDEMICAEL",
        "authorized_official_first_name": "RAHEL",
        "authorized_official_title_or_position": "CEO/ PRESIDENT",
        "authorized_official_telephone_number": "856-299-3200"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4544803",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020150",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040801",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4550501",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carneys Point, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.