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AFFINITY HEALTHCARE GROUP CHERRY HILL LLC
NPI 1003583733
Clinic/Center - Methadone in Cherry Hill, NJ

Active since August 30, 2021CLIA 31D2204694 · Waiver
1305 KINGS HWY N, CHERRY HILL, NJ 08034(856) 651-7826(856) 229-7142 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Affinity Healthcare Group Cherry Hill Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AFFINITY HEALTHCARE GROUP CHERRY HILL LLC (NPI 1003583733) is a healthcare organization registered as a methadone in Cherry Hill, New Jersey and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through December 9, 2026 and lists Shauna Leigh Konnerth, Compliance, as its authorized official.

NPPES Registry Identity

NPI1003583733
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAFFINITY HEALTHCARE GROUP CHERRY HILL LLC
Location Address1305 KINGS HWY NCherry Hill, NJ 08034-1919
Mailing Address1305 Kings Hwy NCherry Hill, NJ 08034-1919 · (856) 651-7826 · Fax (856) 229-7142
Phone(856) 651-7826
Fax(856) 229-7142
Organization SubpartNo
Authorized OfficialShauna Leigh KonnerthCompliance · (856) 651-7826
Enumeration DateAugust 30, 2021
Last NPPES UpdateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1003583733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
1305 KINGS HWY N, Cherry Hill, NJ 08034
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2204694

Affinity Healthcare Group - Cherry Hill, LLC · Cherry Hill, NJ
Active · expires Dec 9, 2026
CLIA Number31D2204694
Laboratory TypeOpioid Treatment Program
Certificate Effective DateDecember 10, 2024
Certificate Expiration DateDecember 9, 2026
Laboratory DirectorKenneth Brown
Laboratory Phone(856) 222-1000
Laboratory LocationAffinity Healthcare Group - Cherry Hill, LLC1305 Kings Way, Cherry Hill, NJ 08034
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Medication assisted treatment, methadone; weekly bundle including dispensing and/or administration, substance use counseling, individual and group therapy, and toxicology testing, if performed (provision of the services by a medicare-enrolled opioid treatm G2067
Medication Assisted Treatment (MAT) with methadone is a comprehensive approach to manage opioid addiction. It includes weekly methadone dispensing, substance use counseling, individual and group therapy sessions, and toxicology tests as needed, all provided by a Medicare-enrolled opioid treatment program.
525 services23 patients
Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure G2078
This service provides an additional 7-day supply of methadone, a medication used to treat opioid addiction, for patients to take at home. It's provided by a Medicare-enrolled opioid treatment program. This service is billed separately from the main treatment procedure.
201 services16 patients
Intake activities, including initial medical examination that is a complete, fully documented physical evaluation and initial assessment by a program physician or a primary care physician, or an authorized healthcare professional under the supervision of a G2076
Intake activities involve a comprehensive medical examination and initial assessment. This is carried out by a program physician, a primary care doctor, or a qualified healthcare professional under their oversight. The process helps to understand your current health status and identify any potential health issues.
12 services11 patients

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BERNARD A PEKALA M.D.
Obstetrics & Gynecology
1305 KINGS HWY N
CHERRY HILL, NJ 08034
Camden County (856) 428-6451
KENNETH BROWN MD
Emergency Medicine
1305 KINGS HWY N
CHERRY HILL, NJ 08034
Camden County (856) 651-7826
MARLTON MEDICAL GROUP, P.C.
Family Medicine
1305 KINGS HWY N, SUITE 4
CHERRY HILL, NJ 08034
Camden County (856) 429-3862
KENNEDY MEDICAL GROUP PRACTICE P.C.
Psychiatry & Neurology (Psychiatry)
1305 KINGS HWY N, N#4
CHERRY HILL, NJ 08034
Camden County (844) 542-2273
REGIONAL WOMEN'S HEALTH GROUP, LLC
Obstetrics & Gynecology
1305 KINGS HWY N
CHERRY HILL, NJ 08034
Camden County (856) 428-6451
MR. THOMAS RUSSELL BRASWELL-PIPES III CADCI
Counselor (Addiction (Substance Use Disorder))
1305 KINGS HWY N
CHERRY HILL, NJ 08034
Camden County (856) 651-7826
MR. RONALD ALAN MARTIN JR. PROGRAM SPONSOR
Clinic/Center (Methadone)
1305 KINGS HWY N
CHERRY HILL, NJ 08034
Camden County (856) 651-7826
THOMAS PATRICK MCMAHON M.D.
Internal Medicine
1305 KINGS HWY N
CHERRY HILL, NJ 08034
Camden County (856) 428-9446

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Affinity Healthcare Group Cherry Hill LLC's NPI number?

The NPI number for Affinity Healthcare Group Cherry Hill LLC is 1003583733. It was assigned to this organization in the NPPES registry on August 30, 2021.

Where is Affinity Healthcare Group Cherry Hill LLC located?

Affinity Healthcare Group Cherry Hill LLC is located at 1305 Kings Hwy N, Cherry Hill, NJ 08034. The listed phone number is (856) 651-7826.

What is Affinity Healthcare Group Cherry Hill LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Methadone, with taxonomy code 261QM2800X.

Does Affinity Healthcare Group Cherry Hill LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2204694) is associated with this NPI, valid through December 9, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Affinity Healthcare Group Cherry Hill LLC was last updated on July 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.