Active NPI
Claudia Anastasia Montesdeoca, WHNP
- Women's Health Nurse Practitioner
- Camden, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ01379100
- Practice address
- 1601 Haddon Ave
Camden, NJ 08103-3109 - Phone
- (856) 757-3700
- NPI assigned
- May 24, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | RN2327055 | MA | |
| Women's Health Nurse Practitioner | 363LW0102X | SP021091 | PA | |
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ01379100 | NJ | Primary |
Addresses
Primary practice location
1601 Haddon Ave
Camden, NJ 08103-3109
Mailing address
1601 Haddon Ave
Camden, NJ 08103-3109
Phone (856) 757-3700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
800 Walnut St FL
14 Penn OB/GYN and Midwifery Care
Philadelphia, PA 19107-5176
Phone (215) 829-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN2327055 | MA | MD | Women's Health Nurse Practitioner |
| 26NJ01379100 | NJ | MD | Women's Health Nurse Practitioner |
| SP021091 | PA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Care Associates of the University of Pennsylvania Health Syst | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients | |
| Clinical Care Associates of the University of Pennsylvania Health | Current | Accepting new patients |
Locations
800 Walnut St
Fl 14
Philadelphia, PA 19107
Phone (215) 829-3445
105 Vineyard Way
Ste 200
West Grove, PA 19390
Phone (610) 345-0020
777 Township Line Rd
Ste 200
Yardley, PA 19067
Phone (215) 860-0775
Organizations & group practices 3
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676160000000",
"number": "1962069930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 HADDON AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033109",
"telephone_number": "856-757-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 HADDON AVE",
"city": "CAMDEN",
"state": "NJ",
"postal_code": "081033109",
"telephone_number": "856-757-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTESDEOCA",
"first_name": "CLAUDIA",
"middle_name": "ANASTASIA",
"credential": "WHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-24",
"last_updated": "2023-02-12",
"certification_date": "2023-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "MA",
"license": "RN2327055",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "PA",
"license": "SP021091",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ01379100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Camden, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2023; 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.