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CLAUDINE M DE DAN MD LLC
NPI 1134646268
Family Medicine in Mullica Hill, NJ

Active since August 29, 2017CLIA 31D0119457 · Waiver
34 COLSON LN STE B, MULLICA HILL, NJ 08062(856) 628-8120(856) 628-8123 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 21, 2022, Aug 29, 2017 (2 updates tracked since 2017).

About Claudine M De Dan Md Llc NPPES

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

CLAUDINE M DE DAN MD LLC (NPI 1134646268) is a healthcare organization registered as a family medicine in Mullica Hill, New Jersey and active in the NPI registry since August 2017. The organization holds a CLIA Waiver certificate valid through August 31, 2028 and lists Claudine M De Dan, Owner, as its authorized official.

NPPES Registry Identity

NPI1134646268
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLAUDINE M DE DAN MD LLC
Location Address34 COLSON LN STE BMullica Hill, NJ 08062-1502
Mailing Address34 Colson Ln Ste BMullica Hill, NJ 08062-1502 · (856) 628-8120 · Fax (856) 628-8123
Phone(856) 628-8120
Fax(856) 628-8123
Organization SubpartNo
Authorized OfficialClaudine M De DanOwner · (856) 628-8120
Enumeration DateAugust 29, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1134646268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA07871700
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
34 COLSON LN STE B, Mullica Hill, NJ 08062
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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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claudine M De Dan Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Claudine M De Dan MD LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Claudine De Dan, MD
Family Practice
NPI 1124058367
34 COLSON LN STE B
Mullica Hill, NJ 08062
(856) 628-8120
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 31D0119457

Claudine M De Dan, MD Family Medicine · Mullica Hill, NJ
Active · expires Aug 31, 2028
CLIA Number31D0119457
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorClaudine M. De Dan
Laboratory Phone(856) 628-8120
Laboratory LocationClaudine M De Dan, MD Family Medicine34 Colson Lane, Suite B, Mullica Hill, NJ 08062
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Claudine M De Dan MD LLC's NPI number?

The NPI number for Claudine M De Dan MD LLC is 1134646268. It was assigned to this organization in the NPPES registry on August 29, 2017.

Where is Claudine M De Dan MD LLC located?

Claudine M De Dan MD LLC is located at 34 Colson Ln Ste B, Mullica Hill, NJ 08062. The listed phone number is (856) 628-8120.

What is Claudine M De Dan MD LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Claudine M De Dan MD LLC enrolled in Medicare?

Yes. Claudine M De Dan MD LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Claudine M De Dan MD LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Claudine M De Dan MD LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Claudine M De Dan MD LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0119457) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Claudine M De Dan MD LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.