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CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC NPI 1124122387


NPI Information

NPI: 1124122387
Provider Name: CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1400 ROUTE 70 E
CHERRY HILL, NJ
ZIP 08034
Phone: (856) 216-0300
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CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC is a cardiovascular disease internal medicine in Cherry Hill, NJ. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC NPI is 1124122387. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1400 ROUTE 70 E
CHERRY HILL, NJ
ZIP 08034-230
Phone: (856) 216-0300
Fax: (856) 216-7148

The provider's authorized official is Chante L Jackson .
The authorized official title is Enrollment Lead and has the following contact phone number (215) 662-6187.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 11/19/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207RC0000XInternal MedicineCardiovascular DiseaseYes
3207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyPENNSYLVANIANo
4207RI0011XInternal MedicineInterventional CardiologyNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1867643OTHERNEW JERSEYAETNA
22Y21758OTHERNEW JERSEYHEALTHNET
3554338OTHERNEW JERSEYNJ BLUE SHIELD
40482067000OTHERNEW JERSEYNJ AMERIHEALTH
53201503MEDICAIDNEW JERSEY
6DD7381OTHERNEW JERSEYRAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.