Active NPI
Christopher C Derivaux, M.D.
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Haddonfield, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 25MA07417400
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8884005 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071130000471 | NJ | Practitioner - Thoracic Surgery | 7416046289 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Rutgers New Jersey Medical School, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cooper Surgical Associates, PA
Practice addresses (Care Compare)
1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000
Hospital & facility affiliations
- Cooper University Hospital
- Inspira Medical Center Mullica Hill
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Virtua Medical Group, PA | Current | Accepting new patients | |
| Cooper Surgical Associates, PA | Current | Accepting new patients | |
| Atlanticare Physician Group, PA | Current | Accepting new patients | |
| Virtua Medical Group, PA | Surgery | Current | Accepting new patients |
| Cooper Surgical Associates, PA | Surgery | Current | Accepting new patients |
| Inspira Health Network Medical Group, P.C. | Current | Accepting new patients | |
| Atlanticare Physician Group PA | Surgery | Current | 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.
-
- Urgent Care Clinic/Center
- Galloway, NJ
- NPI 1003820622
-
- Multi-Specialty Clinic/Center
- Glassboro, NJ
- NPI 1922177856
-
- Orthopaedic Surgery Physician
- Delran, NJ
- NPI 1841087988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2025; 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.