Individual provider Active NPI

Kathleen Cummings, APN

  • Gerontology Nurse Practitioner
  • Pennsauken, NJ
National Provider Identifier
1124886858
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
26NJ14912400 Issued in NJ
Practice address
5026 Garden Ave
Pennsauken, NJ 08109-1452
Phone
(609) 743-0221
NPI assigned
Mar 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 26NJ14912400 NJ Primary

Addresses

Primary practice location

5026 Garden Ave
Pennsauken, NJ 08109-1452

Mailing address

5026 Garden Ave
Pennsauken, NJ 08109-1452
Phone (609) 743-0221

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250703000706 NJ Practitioner - Nurse Practitioner 3971016700 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ennoble HC NJ PCGroup PAC ID 0345638185, 129 clinicians

Practice addresses (Care Compare)

2 University PLZ
Suite 204
Hackensack, NJ 07601-6211
Phone (973) 241-1356

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Pennsauken, NJ, CCN 317065
  • Moorestown Visiting Nurse Association Home health agency, Moorestown, NJ, CCN 317048

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ14912400NJMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ennoble HC NJ PC CurrentSince Nov 17, 2025 Accepting new patients
Ennoble HC NJ II PC CurrentSince Sep 12, 2025 Accepting new patients
Ennoble HC NJ III PC CurrentSince Sep 12, 2025 Accepting new patients
Camcare Health Corporation CurrentSince Apr 26, 2025 Accepting new patients
Camcare Health Corporation CurrentSince Apr 26, 2025 Accepting new patients

Locations

2610 Federal St
Camden, NJ 08105
Phone (856) 541-0212

2610 Federal St
#1936
Camden, NJ 08105
Phone (856) 583-2400

817 Federal St
Camden, NJ 08103
Phone (856) 541-3270

2 University Plz
Ste 204
Hackensack, NJ 07601
Phone (201) 564-0142

1000 Haddonfield Berlin Rd
Ste 205
Voorhees, NJ 08043
Phone (973) 241-1356

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1124886858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 GARDEN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091452",
            "telephone_number": "609-743-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 GARDEN AVE",
            "city": "PENNSAUKEN",
            "state": "NJ",
            "postal_code": "081091452",
            "telephone_number": "609-743-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "KATHLEEN",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ14912400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pennsauken, NJ

Sources for this page

Verify at the official NPI Registry.