Crisanta Sage Claydon, MD

Primary specialty

Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) PhysicianTaxonomy code 207VF0040X

License

25MA07298300 Issued in NJ

Practice address

200 Bowman Dr Ste E325A
Voorhees, NJ 08043-9623

Phone

(856) 247-7420

Fax

(856) 247-7421

NPI assigned

Jul 28, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Obstetrics/Gynecology

Education

Virginia Commonwealth University, School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alliance OB GYN Consultants LLCGroup PAC ID 8921088790, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.15 of 100Reported as group

Quality

62.28

Promoting interoperability

100

Improvement activities

40

Cost

74.89

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Alliance OB GYN Consultants LLC

  • Obstetrics & Gynecology Physician
  • Delran, NJ
  • NPI 1013061381
  Medicare reassignment Care Compare group NPD
• Virtua Medical Group, PA

  • Family Medicine Physician
  • Marlton, NJ
  • NPI 1649226515
  Medicare reassignment NPD
• Virtua Medical Group, PA

  • Orthopaedic Surgery Physician
  • Delran, NJ
  • NPI 1841087988
  NPD
• Alliance Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Hainesport, NJ
  • NPI 1386000529
  NPD (past)
• Cooper Obstetrical Associates, PC

  • Obstetrics & Gynecology Physician
  • Camden, NJ
  • NPI 1194745976

  Urogynecology and Reconstructive Pelvic Surgery

  NPD (past)
• University Urogynecology Association, PC

  • Obstetrics & Gynecology Physician
  • Voorhees, NJ
  • NPI 1255352423
  NPD (past)
• Riddle Healthcare Associates

  • Obstetrics & Gynecology Physician
  • Media, PA
  • NPI 1487767752
  NPD (past)

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1790785012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11054 BROOKHOLLOW DR",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230591932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BOWMAN DR STE E325A",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080439623",
            "telephone_number": "856-247-7420",
            "fax_number": "856-247-7421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Young Ave Ste 146A",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573130",
            "country_code": "US",
            "telephone_number": "856-247-7420",
            "fax_number": "609-444-5627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLAYDON",
        "first_name": "CRISANTA",
        "middle_name": "SAGE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-28",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "PA",
            "license": "MD417625",
            "primary": false
        },
        {
            "code": "207VF0040X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "NJ",
            "license": "25MA07298300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Marie Cirasole, MD
• Haile Citrone
• Dana Farengo Clark, M.S., CGC
• Sheila Marie Clark
• Toriann Clarke
• Ronald McDonald Clearie III
• Donna Clee, C.O.T.A.
• Edilynn Clermont, DO
• Clinical Health Care Associates of New Jersey, PC
• CMC Department of Medicine Group PA

• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in Voorhees, NJ
• Providers in Voorhees, NJ by specialty
• Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.