Individual provider Active NPI

Christine Sheehan, DO

  • Pediatrics Physician
  • West Deptford, NJ
National Provider Identifier
1821063629
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
25MB07218300 Issued in NJ
Practice address
646 Kings Hwy
West Deptford, NJ 08096-3145
Phone
(856) 879-2887
NPI assigned
Feb 23, 2006
Last updated
Jan 31, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS010226L PA
Pediatrics Physician 208000000X 25MB07218300 NJ Primary

Addresses

Primary practice location

646 Kings Hwy
West Deptford, NJ 08096-3145

Mailing address

401 Route 73 N Ste 320
Marlton, NJ 08053-3426

Other practice location 1

483 E County Line Rd
Hatboro, PA 19040-1204
Phone (215) 441-5670

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
I20140324001350 NJ Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 2365673928 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MB07218300NJMDPediatrics Physician
OS010226LPAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Camcare Health Corporation CurrentSince Apr 2, 2019 Accepting new patients
Childrens Health Care Associates of New Jersey PC Pediatrics Current Accepting new patients
Childens Health Care Associates of New Jersey PC CurrentSince Feb 1, 2014 Accepting new patients
Advocare, LLC Pediatrics CurrentSince Mar 1, 2022 Accepting new patients
Camcare Health Corporation Current Accepting new patients
Camcare Health Corporation CurrentSince Apr 2, 2019 Accepting new patients
Advocare , LLC CurrentSince Mar 1, 2022 Accepting new patients
Atlantic Emergency Physician Team Pediatric Associates, P.C. Past Accepting new patients
Advocare, LLC Pediatrics Past Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

175 Madison Ave
Mount Holly, NJ 08060
Phone (609) 261-1660

707 Alexander Rd
Princeton, NJ 08540
Phone (609) 520-1717

19 Village Center Dr
Swedesboro, NJ 08085
Phone (856) 468-8330

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

646 Kings Hwy
West Deptford, NJ 08096
Phone (856) 879-2887

100 E Penn Sq
Fl 9
Philadelphia, PA 19107
Phone (267) 425-9232

Interoperability endpoints

  • Direct secure messaging: christine.sheehan@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1821063629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ROUTE 73 N STE 320",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 KINGS HWY",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963145",
            "telephone_number": "856-879-2887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "483 E County Line Rd",
            "address_purpose": "LOCATION",
            "city": "Hatboro",
            "state": "PA",
            "postal_code": "190401204",
            "country_code": "US",
            "telephone_number": "215-441-5670",
            "fax_number": "215-441-5661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEEHAN",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "OS010226L",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NJ",
            "license": "25MB07218300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Deptford, NJ

Sources for this page

Verify at the official NPI Registry.