Organization Active NPI

Rutgers, School of Nursing-Camden Community Health Clinics

  • Nurse Practitioner
  • Camden, NJ
National Provider Identifier
1215559695
Registry record updated May 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
RUTGERS, SCHOOL OF NURSING-CAMDEN COMMUNITY HEALTH CLINICS
Practice address
The Branches Health Center
1700 South 9TH Street
Camden, NJ 08104
Phone
(856) 225-2983
NPI assigned
May 8, 2020
Last updated
May 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2020

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

Authorized official

Name
Dr. Donna Nickitas, RN
Title
Dean and Professor
Phone
(856) 225-6876

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X Primary

Addresses

Primary practice location

The Branches Health Center
1700 South 9TH Street
Camden, NJ 08104

Mailing address

530 Federal Street, Nursing & Science Building
Camden, NJ 08102
Phone (856) 225-6876

Other practice location 1

Ablett Village Health Clinic
307 Ablett Village
Camden, NJ 08105
Phone (856) 225-2983

National Provider Directory

National Provider Directory

Locations

307 Abblett Vlg
Camden, NJ 08105
Phone (856) 225-2983

530 Federal St
Camden, NJ 08103
Phone (315) 396-7903

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1588896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588896000000",
    "number": "1215559695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 FEDERAL STREET, NURSING & SCIENCE BUILDING",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08102",
            "telephone_number": "856-225-6876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE BRANCHES HEALTH CENTER",
            "address_2": "1700 SOUTH 9TH STREET",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "08104",
            "telephone_number": "856-225-2983"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Ablett Village Health Clinic",
            "address_2": "307 Ablett Village",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "08105",
            "country_code": "US",
            "telephone_number": "856-225-2983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RUTGERS, SCHOOL OF NURSING-CAMDEN COMMUNITY HEALTH CLINICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-08",
        "last_updated": "2020-05-08",
        "certification_date": "2020-05-08",
        "status": "A",
        "authorized_official_last_name": "NICKITAS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "DEAN AND PROFESSOR",
        "authorized_official_telephone_number": "856-225-6876",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camden, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2020; 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.