CHCA NJ FACULTY PRACTICE – NPI #1215022256
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

CHCA NJ FACULTY PRACTICE is a provider located in VOORHEES TOWNSHIP, NJ. NPPES has assigned the NPI number 1215022256 to CHCA NJ FACULTY PRACTICE on October 04, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CHCA NJ FACULTY PRACTICE” is a dba name, the actual legal business name for this organization is CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CHCA NJ FACULTY PRACTICE below.

NPI Profile for
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC

NPI Number
1215022256
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHILDREN'S HEALTH CARE ASSOCIATES OF NEW JERSEY PC
Doing Business As (dba): CHCA NJ FACULTY PRACTICE
Primary location
1012 LAUREL OAK ROAD
SPECIALTY CENTER AT VOORHEES - CHOP
VOORHEES TOWNSHIP, NJ 08043
Phone: (856) 435-1300 Fax: (215) 977-8864
Mailing address
100 N 20TH ST STE 301
CHCA
PHILADELPHIA, PA 19103
Phone: (215) 567-2422 Fax: (215) 977-8864
Organization Subpart
No
Authorized Official
DENISE HARRIS
CREDENTIALING COORDINATOR
Phone: (215) 567-2422
Updated
Identifiers

Identifiers for CHCA NJ FACULTY PRACTICE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE0001025402
MEDICAIDNJ8241601
MEDICAIDNY02278884
MEDICAIDPA0006558520006
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.