Cumberland Internal Medicine PA

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

25MA05319700 Issued in NJ

Legal business name

CUMBERLAND INTERNAL MEDICINE PA

Practice address

1450 E Chestnut Ave
Building 3a
Vineland, NJ 08361-8467

Phone

(607) 273-2811

NPI assigned

Jun 30, 2014

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP of Operations

Phone

(858) 964-1506

Specialties & licenses 1

Addresses

Other names 1

• Cumberland Internal Medicine Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Tri - State Medical Group Inc

Practitioners 1

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

• John Ahrens, MD

  • Internal Medicine Physician
  • Vineland, NJ
  • NPI 1568443646
  NPD

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1336554278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "SUITE 110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 E CHESTNUT AVE",
            "address_2": "BUILDING 3A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618467",
            "telephone_number": "607-273-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND INTERNAL MEDICINE PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "858-964-1506"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NJ",
            "license": "25MA05319700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumberland Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cumberland County Board of Social Services
• Cumberland County Guidance Center
• Cumberland County Guidance Center
• Cumberland Dentistry Center LLC
• Cumberland Internal Medicine
• Cumberland Medical Associates, P.a.
• Cumberland Nephrology Associates
• Cumberland Obstetrics and Gynecology PA
• Cumberland Orthopedic Professional Association
• Cumberland Periodontal Associates, P.a.

• Non-Pharmacy Dispensing Site in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Non-Pharmacy Dispensing Site in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.