Active NPI
Rutgers, School of Nursing-Camden Community Health Clinics
- Nurse Practitioner
- Camden, NJ
National Provider Identifier
1215559695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Adult Health Nurse Practitioner
- Camden, NJ
- NPI 1356752562
-
- Family Nurse Practitioner
- Camden, NJ
- NPI 1972362077
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.