Organization Active NPI

Cumberland Obstetrics and Gynecology PA

  • Specialist
  • Vineland, NJ
National Provider Identifier
1225054877
Registry record updated Sep 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CUMBERLAND OBSTETRICS AND GYNECOLOGY PA
Practice address
1102 E Chestnut Ave
Vineland, NJ 08360-5002
Phone
(856) 690-1025
Fax
(856) 690-1352
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2018

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

Authorized official

Name
Armando Russo, M.D.
Title
Physician
Phone
(856) 690-1025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1102 E Chestnut Ave
Vineland, NJ 08360-5002

Mailing address

PO Box 173
Millville, NJ 08332-0173
Phone (856) 690-1025

Other identifiers 2

IdentifierTypeStateIssuer
010711900OtherNJAMERIHEALTH
G369945OtherNJOXFORD

National Provider Directory

National Provider Directory

Locations

2950 College Dr
Ste G
Vineland, NJ 08360
Phone (856) 696-4484

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1225054877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 173",
            "city": "MILLVILLE",
            "state": "NJ",
            "postal_code": "083320173",
            "telephone_number": "856-690-1025",
            "fax_number": "856-690-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 E CHESTNUT AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605002",
            "telephone_number": "856-690-1025",
            "fax_number": "856-690-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND OBSTETRICS AND GYNECOLOGY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "ARMANDO",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "856-690-1025",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH",
            "identifier": "010711900",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "G369945",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.