NPIMap

Organization Active NPI

Claudia M. Petruncio DO

  • Family Medicine Physician
  • Cherry Hill, NJ
National Provider Identifier
1861636151
Registry record updated Apr 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MB4695500 Issued in NJ
Legal business name
CLAUDIA M. PETRUNCIO DO
Practice address
2201 Chapel Ave W
Suite 106
Cherry Hill, NJ 08002-2048
Phone
(856) 488-6785
Fax
(856) 488-6495
NPI assigned
Apr 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2009

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

Authorized official

Name
Dr. Claudia M. Petruncio, DO
Title
Physician
Phone
(856) 488-6785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MB4695500 NJ Primary

Addresses

Primary practice location

2201 Chapel Ave W
Suite 106
Cherry Hill, NJ 08002-2048

Mailing address

2201 Chapel Ave W
Suite 106
Cherry Hill, NJ 08002-2048
Phone (856) 488-6785

National Provider Directory

National Provider Directory

Locations

2201 Chapel Ave W
Ste 106
Cherry Hill, NJ 08002
Phone (856) 488-6785

NPI Registry JSON

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

{
    "created_epoch": "1241049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241049600000",
    "number": "1861636151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "address_2": "SUITE 106",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6785",
            "fax_number": "856-488-6495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 CHAPEL AVE W",
            "address_2": "SUITE 106",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022048",
            "telephone_number": "856-488-6785",
            "fax_number": "856-488-6495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLAUDIA M. PETRUNCIO DO",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-30",
        "last_updated": "2009-04-30",
        "status": "A",
        "authorized_official_last_name": "PETRUNCIO",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-488-6785",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MB4695500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.