MEDICARE: CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427152917
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC

Provider Business Mailing Address
First Line	:	2929 ARCH ST FL 12
Second Line	:	CHILDRENS HEALTH CARE ASSOCIATES OF NEW JERSEY PC
City	:	PHILADELPHIA
State	:	PA
Zip	:	19104-2857
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1012 LAUREL OAK RD
Second Line	:	CHOP CARE NETWORK AT VOORHEES SCC
City	:	VOORHEES
State	:	NJ
Zip	:	08043-3505
Country	:	US
Telephone Number	:	856-435-1300
Fax Number	:	267-425-9299

Authorized Official
Title or Position	:	SR. MANAGER
Name	:	YASMEN MOHAMMAD
Credential	:
Telephone Number	:	267-425-9535

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	06/08/2026

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