EILEEN CONDREN D.O.
NPI 1396009684
Pediatrics - Adolescent Medicine in Sewell, NJ

Q: What is Eileen Condren's NPI number?

The NPI number for Eileen Condren is 1396009684. It was assigned to this individual provider in the NPPES registry on July 2, 2012.

Q: What is Eileen Condren's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Condren was last updated on October 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.

Active since July 02, 2012PECOS Enrolled

405 HURFFVILLE CROSSKEYS RD STE 203, SEWELL, NJ 08080(856) 582-0033(856) 582-2305 Get Directions Write a Review

NPPES record last updated: October 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 1, 2024, Mar 7, 2024, Jun 21, 2023 (3 updates tracked since 2023).

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About Eileen Condren D.o. NPPES

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

EILEEN CONDREN D.O. (NPI 1396009684) is an individual adolescent medicine provider in Sewell, New Jersey, licensed in New Jersey (25MB09131100) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1396009684

Entity TypeIndividualFemale

Primary Taxonomy2080A0000X

Provider Legal NameEILEEN CONDRENCredential: D.O.

Location Address405 HURFFVILLE CROSSKEYS RD STE 203Sewell, NJ 08080-9344

Mailing Address5 Burke DrMedford, NJ 08055-3929 · (914) 855-4783

Phone(856) 582-0033

Fax(856) 582-2305

Sole ProprietorNo

Enumeration DateJuly 2, 2012

Last NPPES UpdateOctober 1, 20243 updates tracked since enumeration

NPPES CertifiedOctober 1, 2024

✔ NPI 1396009684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in NJ · 25MB09131100

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Also ListedPediatricsTaxonomy 208000000X · License 25MB09131100 (NJ)

405 HURFFVILLE CROSSKEYS RD STE 203, Sewell, NJ 08080

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Secondary Practice Locations 2

Location 11474 Tanyard Road, Suite D102Sewell, NJ 08080 · Phone (856) 566-7045 · Fax (856) 566-6850

Location 242 E Laurel Rd Ste 3500Stratford, NJ 08084-1354 · Phone (856) 566-7040

Other Identifiers 1

Medicaid0330841NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen Condren D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 8

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

MR. MICHAEL JOSEPH KINNEY CRNP

Nurse Practitioner (Pediatrics)