Active NPI
Christine M Surrey, D.O.
- Geriatric Medicine (Internal Medicine) Physician
- Cherry Hill, NJ
National Provider Identifier
1972583540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- MB07131500
- Practice address
- 1040 Kings Hwy N
Suite 100
Cherry Hill, NJ 08034-1908 - Phone
- (856) 414-1155
- Fax
- (856) 414-1313
- NPI assigned
- Jan 19, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MB07131500 | NJ | |
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | MB07131500 | NJ | Primary |
Addresses
Primary practice location
1040 Kings Hwy N
Suite 100
Cherry Hill, NJ 08034-1908
Mailing address
1040 Kings Hwy N
Suite 100
Cherry Hill, NJ 08034-1908
Phone (856) 414-1155
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8948208 | Medicaid | NJ |
Other names 1
- Christine M Budd-Skand
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050718000031 | NJ | Practitioner - Internal Medicine | 9234165689 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rowan University School of Osteopathic Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tri-County Health Connections, PC
Practice addresses (Care Compare)
1120 Delsea Dr N
Glassboro, NJ 08028-1444
Phone (856) 507-2783
Hospital & facility affiliations
- Serenity Hospice Care
- Cedar Grove Respiratory and Nursing Center
- Atlas Post Acute at Woodbury Country Club
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MB07131500 | NJ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tri-County Health Connections PC | Current | Accepting new patients | |
| Patient Care Medical Group PC | Geriatric Medicine | Current | Accepting new patients |
| Lighthouse Hospice Inc. | Past | Accepting new patients | |
| Tri-County Health Connections PC | Past | Accepting new patients |
Locations
26 Main St
Edison, NJ 08837
Phone (609) 385-2622
1120 Delsea Dr N
Fl 2
Glassboro, NJ 08028
Phone (856) 595-9136
1120 Delsea Dr N
Fl Second
Glassboro, NJ 08028
1120 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 205-7071
Organizations & group practices 4
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Woodbury, NJ
- NPI 1891362364
Geriatric Medicine, NJ
-
- Community Based Hospice Care Agency
- Cherry Hill, NJ
- NPI 1861454829
-
- Neurology Physician
- Woodbury, NJ
- NPI 1417220310
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Bordentown, NJ
- NPI 1538451034
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375142400000",
"number": "1972583540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1040 KINGS HWY N",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341908",
"telephone_number": "856-414-1155",
"fax_number": "856-414-1313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 KINGS HWY N",
"address_2": "SUITE 100",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080341908",
"telephone_number": "856-414-1155",
"fax_number": "856-414-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SURREY",
"first_name": "CHRISTINE",
"middle_name": "M",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-19",
"last_updated": "2013-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NJ",
"license": "MB07131500",
"primary": false
},
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "NJ",
"license": "MB07131500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8948208",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "BUDD-SKAND",
"middle_name": "M",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}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 Jul 30, 2013; 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.