Famcare, Inc

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

70691 Issued in NJ

Legal business name

FAMCARE, INC

Practice address

30 Magnolia Ave
Bridgeton, NJ 08302-1721

Phone

(856) 451-8098

Fax

(856) 451-8406

NPI assigned

Jan 30, 2013

Organization subpart

No

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

Authorized official

Name

Sabrina E Cannady, CPC

Title

Consultant

Phone

(856) 467-9344

Specialties & licenses 2

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Famcare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

• Famcare Inc.

  • Ambulatory Family Planning Facility
  • Glassboro, NJ
  • NPI 1124164124
  NPD tax ID
• Famcare, Inc

  • Nurse Practitioner
  • Glassboro, NJ
  • NPI 1740528520
  NPD tax ID
• Famcare, Inc

  • Women's Health Nurse Practitioner
  • Vineland, NJ
  • NPI 1760720635
  NPD tax ID
• Famcare, Inc

  • Nurse Practitioner
  • Pennsville, NJ
  • NPI 1851639728
  NPD tax ID
• Famcare, Inc

  • Nurse Practitioner
  • Bridgeton, NJ
  • NPI 1942548813
  NPD tax ID
• Famcare, Inc.

  • Non-Surgical Family Planning Clinic/Center
  • Glassboro, NJ
  • NPI 1043318793
  NPD tax ID

Locations

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

{
    "created_epoch": "1359504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1093053738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281639",
            "telephone_number": "856-881-6117",
            "fax_number": "856-863-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MAGNOLIA AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021721",
            "telephone_number": "856-451-8098",
            "fax_number": "856-451-8406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-30",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "CANNADY",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "856-467-9344",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NJ",
            "license": "70691",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "70691",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372382",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elwyn New Jersey
• Ronnie Erricson
• Athenae Evans
• Fairfield Township Board of Education
• Faith Farm, Inc
• Famcare, Inc
• Family Practice Associates of Cumberland Co PC
• Farifield Township School
• David Joseph Fazenbaker
• Ronald Jay Federico, DC

• Women's Health Nurse Practitioner in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Women's Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.