Individual provider Active NPI

Christopher C Derivaux, M.D.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Haddonfield, NJ
National Provider Identifier
1790733004
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
25MA07417400 Issued in NJ
Practice address
422 Washington Ave
Haddonfield, NJ 08033-3339
Phone
(856) 466-6674
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25MA07417400 NJ
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 25MA07417400 NJ Primary

Addresses

Primary practice location

422 Washington Ave
Haddonfield, NJ 08033-3339

Mailing address

422 Washington Ave
Haddonfield, NJ 08033-3339

Other practice location 1

698 Mullica Hill Rd Ste 300
Mullica Hill, NJ 08062-4453
Phone (856) 508-3845

Other identifiers 1

IdentifierTypeStateIssuer
8884005MedicaidNJ

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
I20071130000471 NJ Practitioner - Thoracic SurgeryPractitioner - Cardiac Surgery 7416046289 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery
Education
Rutgers New Jersey Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Surgical Associates, PAGroup PAC ID 3274430764, 303 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • Inspira Medical Center Mullica Hill Hospital, Elmer, NJ, CCN 310069

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Virtua Medical Group, PA CurrentSince Feb 1, 2019 Accepting new patients
Cooper Surgical Associates, PA CurrentSince Jan 23, 2017 Accepting new patients
Atlanticare Physician Group, PA CurrentSince May 20, 2014 Accepting new patients
Virtua Medical Group, PA Surgery Current Accepting new patients
Cooper Surgical Associates, PA Surgery CurrentSince Jan 23, 2017 Accepting new patients
Inspira Health Network Medical Group, P.C. CurrentSince Sep 22, 2025 Accepting new patients
Atlanticare Physician Group PA Surgery CurrentSince May 20, 2014 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

3 Cooper Plz
Rm 411
Camden, NJ 08103
Phone (856) 342-2270

1 Cooper Plz
#A
Camden, NJ 08103
Phone (888) 499-8779

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

2 Cooper Plz
Fl 4
Camden, NJ 08103

3 Cooper Plz
Rm 403
Camden, NJ 08103
Phone (856) 342-2439

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

2339 Route 70 W
Cherry Hill, NJ 08002
Phone (856) 406-4080

2339 Route 70 W
Ste 200A
Cherry Hill, NJ 08002

2339 Route 70 W
Fl 2
Cherry Hill, NJ 08002
Phone (856) 532-9519

2500 English Creek Ave
Ste 800
Egg Hbr Twp, NJ 08234
Phone (609) 407-2277

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

400 W Route 38
Moorestown, NJ 08057
Phone (856) 270-4000

400 W Route 38
Ste 100
Moorestown, NJ 08057
Phone (856) 270-4020

698 Mullica Hill Rd
Ste 300
Mullica Hill, NJ 08062
Phone (856) 508-3845

798 Centerton Rd
Pittsgrove, NJ 08318
Phone (856) 358-6161

1505 W Sherman Ave
Ste B
Vineland, NJ 08360
Phone (856) 641-8635

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

6015 Main St
Voorhees, NJ 08043
Phone (856) 325-6516

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

651 John F Kennedy Way
Willingboro, NJ 08046
Phone (609) 835-2838

218C Sunset Rd
Willingboro, NJ 08046
Phone (609) 877-0400

Organizations & group practices 7

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 5

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1790733004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 WASHINGTON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 WASHINGTON AVE",
            "city": "HADDONFIELD",
            "state": "NJ",
            "postal_code": "080333339",
            "telephone_number": "856-466-6674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "698 Mullica Hill Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Mullica Hill",
            "state": "NJ",
            "postal_code": "080624453",
            "country_code": "US",
            "telephone_number": "856-508-3845",
            "fax_number": "856-221-4107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERIVAUX",
        "first_name": "CHRISTOPHER",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NJ",
            "license": "25MA07417400",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NJ",
            "license": "25MA07417400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8884005",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Haddonfield, NJ

Sources for this page

Verify at the official NPI Registry.