CLEMENTON FAMILY PRACTICE & AMBULATORY CARE
NPI 1669770533
Family Medicine in Lindenwold, NJ
About Clementon Family Practice & Ambulatory Care NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLEMENTON FAMILY PRACTICE & AMBULATORY CARE (NPI 1669770533) is a healthcare organization registered as a family medicine in Lindenwold, New Jersey and active in the NPI registry since March 2011. The organization holds a CLIA Waiver certificate valid through September 22, 2027 and lists Pradip N Patel, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Clementon Family Practice & Ambulatory Care 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 Clementon Family Practice & Ambulatory Care, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 31D0965542
Clementon Family Prac Ambulatory Care · Lindenwold, NJFrequently 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 Clementon Family Practice & Ambulatory Care's NPI number?
The NPI number for Clementon Family Practice & Ambulatory Care is 1669770533. It was assigned to this organization in the NPPES registry on March 2, 2011.
Where is Clementon Family Practice & Ambulatory Care located?
Clementon Family Practice & Ambulatory Care is located at 657 Blackwood Clementon Road, Lindenwold, NJ 08021. The listed phone number is (856) 566-8325.
What is Clementon Family Practice & Ambulatory Care's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Clementon Family Practice & Ambulatory Care enrolled in Medicare?
Yes. Clementon Family Practice & Ambulatory Care is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Clementon Family Practice & Ambulatory Care?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clementon Family Practice & Ambulatory Care. 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 Clementon Family Practice & Ambulatory Care hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D0965542) is associated with this NPI, valid through September 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Clementon Family Practice & Ambulatory Care was last updated on March 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Clementon Family Practice & Ambulatory Care · NPI 1669770533
Family Medicine organization in Lindenwold, New Jersey. Organization record, active in the CMS NPPES registry since March 2, 2011.
## Identity
- **NPI:** 1669770533 (Entity type: Organization)
- **Enumerated:** March 2, 2011
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Pradip Patel, MD
## Practice location
- **Address:** 657 BLACKWOOD CLEMENTON ROAD, Lindenwold, NJ 08021
- **Phone:** (856) 566-8325 · **Fax:** (856) 566-8326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 2, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1669770533) · Data from the CMS NPPES public registry.