Organization Active NPI

CT Holdings Medical Group LLC

  • Family Medicine Physician
  • Marlton, NJ
National Provider Identifier
1922189513
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MA07948800 Issued in NJ
Legal business name
CT HOLDINGS MEDICAL GROUP LLC
Practice address
1 Eves Dr Ste 111
Marlton, NJ 08053-3125
Phone
(856) 357-3247
Fax
(856) 249-9164
NPI assigned
Oct 18, 2006
Last updated
Mar 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Authorized official

Name
Dr. Christopher Trotz, M.D.NPI 1215025283
Title
Physician
Phone
(856) 625-2407

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MA07948800 NJ Primary

Addresses

Primary practice location

1 Eves Dr Ste 111
Marlton, NJ 08053-3125

Mailing address

1 Eves Dr Ste 111
Marlton, NJ 08053-3125
Phone (856) 357-3247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080724000715 NJ Part B Supplier - Clinic/Group Practice 1951325257 Receives reassigned benefits from 1 practitioner
Practice locations: Marlton, NJ; Mullica Hill, NJ; West Deptford, NJ

National Provider Directory

National Provider Directory

Locations

550 Jessup Rd
West Deptford, NJ 08086
Phone (609) 922-4700

127 N Broad St
Woodbury, NJ 08096
Phone (856) 845-0500

1511 Clements Bridge Rd
Woodbury, NJ 08096
Phone (856) 513-4124

608 N Broad St
Ste 100
Woodbury, NJ 08096
Phone (856) 848-1307

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709942400000",
    "number": "1922189513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EVES DR STE 111",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533125",
            "telephone_number": "856-357-3247",
            "fax_number": "856-249-9164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EVES DR STE 111",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080533125",
            "telephone_number": "856-357-3247",
            "fax_number": "856-249-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT HOLDINGS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2024-03-09",
        "certification_date": "2024-03-09",
        "status": "A",
        "authorized_official_last_name": "TROTZ",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-625-2407",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA07948800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.