NPIMap

Organization Active NPI

Healthcare Commons, Inc.

  • Community/Behavioral Health Agency
  • Carneys Point, NJ
National Provider Identifier
1831264019
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
40702 Issued in NJ
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
Nov 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X 40702 NJ Primary
Clinic/Center 261Q00000X

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
4550501MedicaidNJ
0020150MedicaidNJ
4544803MedicaidNJ
0040801MedicaidNJ

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
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 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1831264019",
    "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": "2006-11-22",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "ANDEMICAEL",
        "authorized_official_first_name": "RAHEL",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "856-299-3200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "40702",
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4550501",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0020150",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4544803",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0040801",
            "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 14, 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.