Organization Active NPI

Camden County Treasurers Office

  • Public Health or Welfare Agency
  • Blackwood, NJ
National Provider Identifier
1487850665
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
25MA04362400 Issued in NJ
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

Updated by the provider on Jan 22, 2008

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

Authorized official

Name
Dr. Michael S Deshields, MDNPI 1245345743
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7329806MedicaidNJ

Other names 1

  • Camden County Department of Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160315001152 NJ Part B Supplier - Mass Immunization (Roster Biller Only) 7315083540 Practice locations: Blackwood, NJ

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D0871402Camden County Department of512 Lakeland Rd, Blackwood, NJ 08012Provider-performed microscopyJan 25, 2028

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.