NPIMap

Organization Active NPI

Pafacom, Inc.

  • Community/Behavioral Health Agency
  • Millville, NJ
National Provider Identifier
1083094916
Registry record updated Jun 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PAFACOM, INC.
Practice address
2218 Shamrock LN
Millville, NJ 08332-3663
Phone
(856) 765-1984
Fax
(856) 691-6560
NPI assigned
Jun 5, 2015
Last updated
Jun 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Michelle Ty Vernamonti, M.S., B.A.
Title
Chief Executive Officer
Phone
(856) 696-1661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2218 Shamrock LN
Millville, NJ 08332-3663

Mailing address

1301 W Forest Grove Rd
Vineland, NJ 08360-1501
Phone (856) 696-1661

National Provider Directory

National Provider Directory
Tax ID family
Pafacom Inc13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1301 W Forest Grove Rd
Vineland, NJ 08360
Phone (856) 696-1661

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433462400000",
    "number": "1083094916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 W FOREST GROVE RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083601501",
            "telephone_number": "856-696-1661",
            "fax_number": "856-691-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 SHAMROCK LN",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083323663",
            "telephone_number": "856-765-1984",
            "fax_number": "856-691-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAFACOM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-05",
        "last_updated": "2015-06-05",
        "status": "A",
        "authorized_official_last_name": "VERNAMONTI",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "TY",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "856-696-1661",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., B.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.