Camden Family Medicine, a Prof Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MA068098 Issued in NJ

Legal business name

CAMDEN FAMILY MEDICINE, A PROF CORP

Practice address

639 Cooper St
Health Center
Camden, NJ 08102-1116

Phone

(856) 541-6800

Fax

(856) 541-1636

NPI assigned

Mar 2, 2007

Last updated

Dec 10, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey C BrennerNPI 1558392217

Title

Owner and Physician

Phone

(856) 541-6800

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Jeffrey Craig Brenner, M.D.

  • Family Medicine Physician
  • Camden, NJ
  • NPI 1558392217
  Authorized official Same address or phone

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228867200000",
    "number": "1336277177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 556",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081010556",
            "telephone_number": "856-541-6800",
            "fax_number": "856-541-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 COOPER ST",
            "address_2": "HEALTH CENTER",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081021116",
            "telephone_number": "856-541-6800",
            "fax_number": "856-541-1636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMDEN FAMILY MEDICINE, A PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-12-10",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER AND PHYSICIAN",
        "authorized_official_telephone_number": "856-541-6800",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "MA068098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Camden Compliance Labs LLC
• Camden County Board of Social Services
• Camden County Corrections
• Camden Eye Center
• Camden Eyecare, P.a. (Cherry Hill Eyecare)
• Camden Prep, Uncommon Schools
• Camden Treatment Associates LLC (urban treatment associates)
• Camden Treatment Associates, LLC (urban treatment associates)
• Camden's Promise Charter School
• Steven Paul Cammarano Jr., PA-C

• Family Medicine Physician in Camden, NJ
• Providers in Camden, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; 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.