MEDICARE: CLINICAL 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	207RS0012X	Sleep Medicine (Internal Medicine) Physician		NJ

General Provider Information

NPI Number	:	1942658471
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLINICAL HEALTH CARE ASSOCIATES OF NEW JERSEY, PC

Provider Business Mailing Address
First Line	:	1865 MARLTON PIKE E
Second Line	:	2ND FLOOR SLEEP MEDICINE
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-2013
Country	:	US
Telephone Number	:	215-662-7772
Fax Number	:	856-429-0589

Provider Business Practice Location Address
First Line	:	1865 MARLTON PIKE E
Second Line	:	2ND FLOOR SLEEP MEDICINE
City	:	CHERRY HILL
State	:	NJ
Zip	:	08003-2013
Country	:	US
Telephone Number	:	215-662-7772
Fax Number	:	856-429-0589

Authorized Official
Title or Position	:	SR. ENROLLMENT MANAGER
Name	:	STACY GRECO
Credential	:
Telephone Number	:	223-341-8516

Provider Enumeration Date	:	05/25/2016
Last Update Date	:	11/21/2025

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