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CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY PC NPI 1902844806


NPI Information

NPI: 1902844806
Provider Name: CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
51 N 39TH ST
PRESBYTERIAN MEDICAL CENTER, 4 HVP
PHILADELPHIA, PA
ZIP 19104
Phone: (215) 662-9189
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CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC is a cardiovascular disease internal medicine in Philadelphia, PA. 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 1902844806. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

51 N 39TH ST
PRESBYTERIAN MEDICAL CENTER, 4 HVP
PHILADELPHIA, PA
ZIP 19104-640
Phone: (215) 662-9189
Fax: (215) 243-4612

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 6/3/2006 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
1207RC0000XInternal MedicineCardiovascular DiseaseYes

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
10016653070003MEDICAIDPENNSYLVANIA

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: 11/14/2023

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.