Individual provider Active NPI

Cynthia A. Menzoni, APN-BC

  • Adult Health Nurse Practitioner
  • Blackwood, NJ
National Provider Identifier
1104963743
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
SP008997 Issued in PA
Practice address
6 Collier Dr
Blackwood, NJ 08012-2983
Phone
(856) 677-5226
Fax
(866) 954-2679
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP016057 PA
Adult Health Nurse Practitioner 363LA2200X SP008997 PA Primary

Addresses

Primary practice location

6 Collier Dr
Blackwood, NJ 08012-2983

Mailing address

148 Erica CT
Swedesboro, NJ 08085-1822
Phone (856) 904-4016

Other practice location 1

235 W Lancaster Ave
Devon, PA 19333-1560
Phone (484) 551-3366

Other names 1

  • Ms. Cynthia A Hensel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070321000232 PA Practitioner - Nurse Practitioner 0345343877 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP016057PAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visavis Health Care Medical Group of Pennsylvania PLLC CurrentSince Jul 31, 2023 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients

Locations

250 Skillman St
Ste 204
Brooklyn, NY 11205
Phone (513) 341-7173

1481 McDonald Ave
Fl 2
Brooklyn, NY 11230

30 West Ave
Wayne, PA 19087
Phone (610) 688-3235

7300 State Highway 121
Ste 300374
McKinney, TX 75070

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1104963743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 ERICA CT",
            "city": "SWEDESBORO",
            "state": "NJ",
            "postal_code": "080851822",
            "telephone_number": "856-904-4016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COLLIER DR",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080122983",
            "telephone_number": "856-677-5226",
            "fax_number": "866-954-2679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "235 W Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Devon",
            "state": "PA",
            "postal_code": "193331560",
            "country_code": "US",
            "telephone_number": "484-551-3366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENZONI",
        "first_name": "CYNTHIA",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "APN-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP016057",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "PA",
            "license": "SP008997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HENSEL",
            "middle_name": "A",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blackwood, NJ

Sources for this page

Verify at the official NPI Registry.