Individual provider Active NPI

Cindy Nunan, NP

  • Family Nurse Practitioner
  • Mays Landing, NJ
National Provider Identifier
1174570626
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00101900 Issued in NJ
Practice address
4450 E. Black Horse Pike
Unit 3972
Mays Landing, NJ 08330
Phone
(609) 365-6217
Fax
(609) 926-4311
NPI assigned
May 30, 2006
Last updated
Sep 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00101900 NJ Primary

Addresses

Primary practice location

4450 E. Black Horse Pike
Unit 3972
Mays Landing, NJ 08330

Mailing address

1 E. New York Ave
Somers Point, NJ 08244
Phone (609) 653-3265

Other practice location 1

1301 Atlantic Ave
Atlantic City, NJ 08401-7247
Phone (609) 572-0000

Other identifiers 1

IdentifierTypeStateIssuer
0091618MedicaidNJ

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
I20060130000172 NJ Practitioner - Nurse Practitioner 2567476559 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shore Memorial Physicians Group PCGroup PAC ID 4688845191, 25 clinicians

Practice addresses (Care Compare)

2605 Shore Rd
Northfield, NJ 08225-2136
Phone (609) 365-5300

4 W Roosevelt Blvd
Marmora, NJ 08223-1441
Phone (609) 814-9550

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26NJ00101900NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Shore Memorial Physicians Group PC CurrentSince Oct 1, 2017 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Sep 23, 2013 Accepting new patients
Atlanticare Regional Medical Center Past Accepting new patients
Atlantic Emergency Associates, PA PastSince Feb 8, 2023 Accepting new patients
Vericare Behavioral Health of New Jersey, P.a. Past Accepting new patients
Barron Emergency Physicians LLC PastSince Jan 19, 2025 Accepting new patients

Locations

1301 Atlantic Ave
Atlantic City, NJ 08401
Phone (609) 570-0000

1925 Pacific Ave
Atlantic City, NJ 08401
Phone (609) 441-8023

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

4 W Roosevelt Blvd
#11
Marmora, NJ 08223

4 W Roosevelt Blvd
Ste 11
Marmora, NJ 08223
Phone (609) 814-9550

4450 Black Horse Pike
Ste 3972
Mays Landing, NJ 08330
Phone (609) 365-6217

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

1645 Haven Ave
Ste C
Ocean City, NJ 08226
Phone (609) 399-6263

Interoperability endpoints

  • Direct secure messaging: cindy.nunan.1@4024.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4024/brand/1/csg/22/fhir/r4

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1174570626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E. NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "08244",
            "telephone_number": "609-653-3265",
            "fax_number": "609-926-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E. BLACK HORSE PIKE",
            "address_2": "UNIT 3972",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "08330",
            "telephone_number": "609-365-6217",
            "fax_number": "609-926-4311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Atlantic City",
            "state": "NJ",
            "postal_code": "084017247",
            "country_code": "US",
            "telephone_number": "609-572-0000",
            "fax_number": "609-572-0039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUNAN",
        "first_name": "CINDY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00101900",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0091618",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mays Landing, NJ

Sources for this page

Verify at the official NPI Registry.