CHERRY HILL CLINIC
NPI 1053583310
General Practice in Cherry Hill, NJ

Active since March 27, 2008CLIA Certified · 2 labs
1930 ROUTE 70 E, SUITE I 48, CHERRY HILL, NJ 08003(856) 489-0505(856) 489-0435 Get Directions Write a Review

NPPES record last updated: March 27, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Cherry Hill Clinic NPPES

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

CHERRY HILL CLINIC (NPI 1053583310) is a healthcare organization registered as a general practice in Cherry Hill, New Jersey and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through January 21, 2028 and lists Molly Fantasia, Registared Agent, as its authorized official.

NPPES Registry Identity

NPI1053583310
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameINTEGRATED HEALTH MEDICAL SYSTEM PC
Location Address1930 ROUTE 70 E, SUITE I 48Cherry Hill, NJ 08003-2150
Mailing Address1930 Route 70 E, Suite I 48Cherry Hill, NJ 08003-2150 · (856) 489-0505 · Fax (856) 489-0435
Fax(856) 489-0435
Organization SubpartNo
Authorized OfficialMolly FantasiaRegistared Agent · (856) 489-0505
Enumeration DateMarch 27, 2008
NPI 1053583310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1930 ROUTE 70 E, Cherry Hill, NJ 08003

Other Names 1

Doing Business AsCherry Hill Clinic

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2002689
Facility Type
Physician Office
Certificate Effective Date
January 22, 2026
Certificate Expiration Date
January 21, 2028
Laboratory Director
AMALIA FANTASIA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Cherry Hill Clinic to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Other Providers at the Same Location


The following 12 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
1930 ROUTE 70 E, STE D-19
CHERRY HILL, NJ 08003
Durable Medical Equipment & Medical Supplies
1930 ROUTE 70 E, SUITE V107
CHERRY HILL, NJ 08003
Internal Medicine (Hematology & Oncology)
1930 ROUTE 70 E, SUITE V107
CHERRY HILL, NJ 08003
Speech-Language Pathologist
1930 ROUTE 70 E, BUILDING E, SUITE 30
CHERRY HILL, NJ 08003
Speech-Language Pathologist
1930 ROUTE 70 E, SUITE E-30
CHERRY HILL, NJ 08003
Pharmacy
1930 ROUTE 70 E, SUITE B-1
CHERRY HILL, NJ 08003
Marriage & Family Therapist
1930 ROUTE 70 E, EXECUTIVE MEWS, SUITE X116
CHERRY HILL, NJ 08003
Counselor (Mental Health)
1930 ROUTE 70 E
CHERRY HILL, NJ 08003
Social Worker
1930 ROUTE 70 E, SUITE R - 91
CHERRY HILL, NJ 08003
Social Worker (Clinical)
1930 ROUTE 70 E
CHERRY HILL, NJ 08003
Social Worker (Clinical)
1930 ROUTE 70 E, SUITE M 68
CHERRY HILL, NJ 08003
Pharmacy
1930 ROUTE 70 E, STE U-104
CHERRY HILL, NJ 08003

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053583310, enumerated as an "organization" on March 27, 2008.

The provider is located at 1930 ROUTE 70 E SUITE I 48 CHERRY HILL, NJ 08003 and the phone number is (856) 489-0505.

General Practice with taxonomy code 208D00000X.