Active NPI
Camden County Treasurers Office
- Public Health or Welfare Agency
- Blackwood, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Public Health or Welfare Agency
- License
- 25MA04362400
- Legal business name
- CAMDEN COUNTY TREASURERS OFFICE
- Practice address
- 512 Lakeland Rd
Blackwood, NJ 08012 - Phone
- (856) 374-6318
- Fax
- (856) 374-6381
- NPI assigned
- Jun 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael S Deshields, MD
- Title
- Medical Director
- Phone
- (856) 374-6318
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health or Welfare Agency | 251K00000X | 25MA04362400 | NJ | Primary |
Addresses
Primary practice location
512 Lakeland Rd
Blackwood, NJ 08012
Mailing address
512 Lakeland Road
Blackwood, NJ 08012
Phone (856) 374-6318
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7329806 | Medicaid | NJ |
Other names 1
- Camden County Department of Health
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20160315001152 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 7315083540 | Practice locations: Blackwood, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D0871402 | Camden County Department of | Provider-performed microscopy | Jan 25, 2028 |
National Provider Directory
National Provider DirectoryLocations
512 Lakeland Rd
Blackwood, NJ 08012
Phone (856) 374-6000
512 Lakeland Rd
Ste 406
Blackwood, NJ 08012
Phone (856) 374-6000
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Addiction Medicine (Internal Medicine) Physician
- Trenton, NJ
- NPI 1245345743
Public Health Or Welfare
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1487850665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "512 LAKELAND ROAD",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "08012",
"telephone_number": "856-374-6318",
"fax_number": "856-374-6381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "512 LAKELAND RD",
"city": "BLACKWOOD",
"state": "NJ",
"postal_code": "08012",
"telephone_number": "856-374-6318",
"fax_number": "856-374-6381"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAMDEN COUNTY TREASURERS OFFICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-25",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "DESHIELDS",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "856-374-6318",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": "NJ",
"license": "25MA04362400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7329806",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Camden County Department of Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Blackwood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.