Take Care Health New Jersey, P.a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TAKE CARE HEALTH NEW JERSEY, P.A.

Practice address

1408 Delsea Dr
Deptford, NJ 08096-4101

Phone

(855) 925-4733

Fax

(217) 709-2345

NPI assigned

Jun 19, 2008

Organization subpart

No

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

Authorized official

Name

Deborah Hegg

Title

Assistant Secretary

Phone

(855) 925-4733

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1235390568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E VOORHEES ST",
            "address_2": "MS 640",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618344509",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1408 DELSEA DR",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080964101",
            "telephone_number": "855-925-4733",
            "fax_number": "217-709-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKE CARE HEALTH NEW JERSEY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "HEGG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "855-925-4733"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0193917",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brandon Michael Sirochinsky, DDS.
• Lisa N Sleiminger, PHARMD
• Justin Southwick, PHARMACIST
• Annemarie Sparks, BS ED.
• Lori Nicole Spencer, PHARMD
• Pankti Tamboli, DO
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation
• The Devereux Foundation

• Family Nurse Practitioner in Deptford, NJ
• Providers in Deptford, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.