Individual provider Active NPI

Cherry Pablo Nacino

  • Acute Care Nurse Practitioner
  • Marlton, NJ
National Provider Identifier
1407360753
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
26NJ00760400 Issued in NJ
Practice address
141 Route 70 W Suite B
Marlton, NJ 08053
Phone
(856) 596-9057
Fax
(856) 596-0837
NPI assigned
Nov 23, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 26NJ00760400 NJ Primary

Addresses

Primary practice location

141 Route 70 W Suite B
Marlton, NJ 08053

Mailing address

301 Lippincott Dr Ste 410
Marlton, NJ 08053-4197
Phone (856) 596-9057

Other practice location 1

239 Hurffville Crosskeys Rd Ste 450
Sewell, NJ 08080-4009
Phone (856) 341-8390

Other practice location 2

2100 Wescott Dr
Flemington, NJ 08822-4603
Phone (908) 788-6474

Other practice location 3

401 Young Ave Ste 165
Moorestown, NJ 08057-3131
Phone (856) 235-4656

Other identifiers 1

IdentifierTypeStateIssuer
0601314MedicaidNJ

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address cnacino76771@directvirtua.org
Direct Messaging Address cnacino76771@directvirtua.org
Direct Messaging Address cnacino76771@directvirtua.org
Direct Messaging Address cnacino76771@directvirtua.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180220000288 NJ Practitioner - Nurse Practitioner 1850652629 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jersey Intensivist Associates LLCGroup PAC ID 3971746470, 15 clinicians
Virtua Medical Group, PAGroup PAC ID 9830222397, 1,678 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 586-7900

3242 Route 206
Bordentown, NJ 08505-4517

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 247-7260

Hospital & facility affiliations

  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022
  • Virtua Our Lady of Lourdes Hospital Hospital, Camden, NJ, CCN 310029
  • Robert Wood Johnson University Hospital at Hamilton Hospital, Hamilton, NJ, CCN 310110
  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Healthcare Affiliated Physicians PC Acute Care Current Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2018 Accepting new patients
Jersey Intensivist Associates LLC CurrentSince Feb 3, 2021 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 1, 2018 Accepting new patients
Princeton Healthcare Affiliated Physicians PC CurrentSince Feb 1, 2018 Accepting new patients
Virtua Medical Group, PA CurrentSince Nov 1, 2018 Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

401 Ridge Rd
Ste 6
Dayton, NJ 08810
Phone (732) 329-4800

141 Route 70 E
Ste B
Marlton, NJ 08053
Phone (856) 596-9057

301 Lippincott Dr
Ste 410
Marlton, NJ 08053

401 Young Ave
Ste 165
Moorestown, NJ 08057
Phone (856) 235-4656

5 Plainsboro Rd
Ste 300
Plainsboro, NJ 08536

239 Hurffville Crosskeys Rd
Ste 450
Sewell, NJ 08080
Phone (856) 341-8390

66 W Gilbert St
Ste 100
Tinton Falls, NJ 07701
Phone (201) 795-8637

1 Washington Blvd
Ste A
Trenton, NJ 08691
Phone (609) 448-4353

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

Interoperability endpoints

  • Direct secure messaging: cnacino101348@epicdirect.rwjbh.org
  • Direct secure messaging: cnacino76771@directvirtua.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1511395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1407360753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIPPINCOTT DR STE 410",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080534197",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 ROUTE 70 W SUITE B",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "08053",
            "telephone_number": "856-596-9057",
            "fax_number": "856-596-0837"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "239 Hurffville Crosskeys Rd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Sewell",
            "state": "NJ",
            "postal_code": "080804009",
            "country_code": "US",
            "telephone_number": "856-341-8390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Wescott Dr",
            "address_purpose": "LOCATION",
            "city": "Flemington",
            "state": "NJ",
            "postal_code": "088224603",
            "country_code": "US",
            "telephone_number": "908-788-6474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 Young Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Moorestown",
            "state": "NJ",
            "postal_code": "080573131",
            "country_code": "US",
            "telephone_number": "856-235-4656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NACINO",
        "first_name": "CHERRY",
        "middle_name": "PABLO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-23",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NJ",
            "license": "26NJ00760400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0601314",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnacino76771@directvirtua.org",
            "affiliation": "N",
            "address_1": "2100 Wescott Dr",
            "city": "Flemington",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088224603",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnacino76771@directvirtua.org",
            "affiliation": "N",
            "address_1": "141 ROUTE 70 W Suite B",
            "city": "Marlton",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "08053",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnacino76771@directvirtua.org",
            "affiliation": "N",
            "address_1": "401 Young Ave Ste 165",
            "city": "Moorestown",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080573131",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cnacino76771@directvirtua.org",
            "affiliation": "N",
            "address_1": "239 Hurffville Crosskeys Rd Ste 450",
            "city": "Sewell",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "080804009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marlton, NJ

Sources for this page

Verify at the official NPI Registry.