Individual provider Active NPI

Cecelia M Kane, APN-C

  • Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1427142678
Registry record updated Oct 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
26NJ00031500 Issued in NJ
Practice address
2102 E Oak Rd
Unit N1
Vineland, NJ 08361-2533
Phone
(856) 462-9623
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 715746 TX
Nurse Practitioner 363L00000X 26NJ00031500 NJ Primary

Addresses

Primary practice location

2102 E Oak Rd
Unit N1
Vineland, NJ 08361-2533

Mailing address

2102 E Oak Rd
Unit N1
Vineland, NJ 08361-2533
Phone (856) 462-9623

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
I20110224000471 NJ Practitioner - Nurse Practitioner 3971566977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
715746TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Visiting Physician Associates of South Jersey LLC Past Accepting new patients
Our Lady of Lourdes Medical Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cecelia.kane.p1@direct.cfg.nextgenshare.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383177600000",
    "number": "1427142678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 E OAK RD",
            "address_2": "UNIT N1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083612533",
            "telephone_number": "856-462-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 E OAK RD",
            "address_2": "UNIT N1",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083612533",
            "telephone_number": "856-462-9623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANE",
        "first_name": "CECELIA",
        "middle_name": "M",
        "credential": "APN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2013-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "715746",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00031500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.