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EGG HARBOR MEDICAL CENTER
NPI 1720009830
Family Medicine in Egg Harbor City, NJ

Active since July 22, 2006
217 PHILADELPHIA AVE, EGG HARBOR CITY, NJ 08215(609) 965-5700(609) 965-5719 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Egg Harbor Medical Center NPPES

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

EGG HARBOR MEDICAL CENTER (NPI 1720009830) is a healthcare organization registered as a family medicine in Egg Harbor City, New Jersey and active in the NPI registry since July 2006. The organization lists Chona Santos-miranda, President, as its authorized official.

NPPES Registry Identity

NPI1720009830
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHONA SANTOS-MIRANDA M.D.PC
Location Address217 PHILADELPHIA AVEEgg Harbor City, NJ 08215-1330
Mailing Address630 Bellevue AveHammonton, NJ 08037-1935 · (609) 965-5700 · Fax (609) 965-5719
Phone(609) 965-5700
Fax(609) 965-5719
Organization SubpartNo
Authorized OfficialChona Santos-mirandaPresident · (609) 965-5700
Enumeration DateJuly 22, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1720009830 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 · 25MA06592600
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.
217 PHILADELPHIA AVE, Egg Harbor City, NJ 08215
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Other Names 1

Doing Business AsEgg Harbor Medical Center

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Egg Harbor Medical Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew JerseyEnrollment IDO20061005000462Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Egg Harbor Medical Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chona Santos Miranda, MD
Family Practice
NPI 1457383549
204 PHILADELPHIA AVE
Egg Harbor City, NJ 08215
(609) 965-5700
✔ 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.

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 Chona Santos-Miranda M.D.Pc's NPI number?

The NPI number for Chona Santos-Miranda M.D.Pc is 1720009830. It was assigned to this organization in the NPPES registry on July 22, 2006. The provider is doing business as Egg Harbor Medical Center.

Where is Chona Santos-Miranda M.D.Pc located?

Chona Santos-Miranda M.D.Pc is located at 217 Philadelphia Ave, Egg Harbor City, NJ 08215. The listed phone number is (609) 965-5700.

What is Chona Santos-Miranda M.D.Pc's specialty?

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

Is Chona Santos-Miranda M.D.Pc enrolled in Medicare?

Yes. Chona Santos-Miranda M.D.Pc is registered in the Medicare PECOS enrollment system.

When is Chona Santos-Miranda M.D.Pc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Chona Santos-Miranda M.D.Pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Chona Santos-Miranda M.D.Pc. 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.

When was this NPI record last updated?

The NPPES record for Chona Santos-Miranda M.D.Pc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.