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CLEMENTON FAMILY PRACTICE & AMBULATORY CARE
NPI 1669770533
Family Medicine in Lindenwold, NJ

Active since March 02, 2011CLIA 31D0965542 · Waiver
657 BLACKWOOD CLEMENTON ROAD, LINDENWOLD, NJ 08021(856) 566-8325(856) 566-8326 Get Directions Write a Review

NPPES record last updated: March 2, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1669770533
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLEMENTON FAMILY PRACTICE & AMBULATORY CARE
Location Address657 BLACKWOOD CLEMENTON ROADLindenwold, NJ 08021
Mailing Address657 Blackwood Clementon RoadLindenwold, NJ 08021 · (856) 566-8325 · Fax (856) 566-8326
Phone(856) 566-8325
Fax(856) 566-8326
Organization SubpartNo
Authorized OfficialPradip N PatelMd · (856) 566-8325
Enumeration DateMarch 2, 2011
✔ NPI 1669770533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
657 BLACKWOOD CLEMENTON ROAD, Lindenwold, NJ 08021
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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

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, NJ
Active · expires Sep 22, 2027
CLIA Number31D0965542
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2025
Certificate Expiration DateSeptember 22, 2027
Laboratory DirectorDr. Vivek Mohan
Laboratory Phone(856) 566-8325
Laboratory LocationClementon Family Prac Ambulatory Care657 Blackwood-Clementon Road, Lindenwold, NJ 08021
CLIA data matches this NPI record on: Address 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 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.

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.