Active NPI
Cumberland Periodontal Associates, P.a.
- Dentist
- Vineland, NJ
National Provider Identifier
1518115377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- NJ11102
- Legal business name
- CUMBERLAND PERIODONTAL ASSOCIATES, P.A.
- Practice address
- 1077 E. Chestnut Ave.
Vineland, NJ 08360 - Phone
- (856) 696-3990
- Fax
- (856) 696-2121
- NPI assigned
- Sep 5, 2008
- 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. Marc David Stein, D.D.S.
- Title
- Owner
- Phone
- (856) 696-3990
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NJ11102 | NJ | Primary |
| Periodontics | 1223P0300X | 2068 | NJ |
Addresses
Primary practice location
1077 E. Chestnut Ave.
Vineland, NJ 08360
Mailing address
1077 E. Chestnut Ave.
Vineland, NJ 08360
Phone (856) 696-3990
National Provider Directory
National Provider DirectoryLocations
1077 E Chestnut Ave
Vineland, NJ 08360
Phone (856) 696-2299
17 W Red Bank Ave
Ste 104
Woodbury, NJ 08096
Phone (856) 848-0665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1220572800000",
"number": "1518115377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1077 E. CHESTNUT AVE.",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08360",
"telephone_number": "856-696-3990",
"fax_number": "856-696-2121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1077 E. CHESTNUT AVE.",
"city": "VINELAND",
"state": "NJ",
"postal_code": "08360",
"telephone_number": "856-696-3990",
"fax_number": "856-696-2121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND PERIODONTAL ASSOCIATES, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-05",
"last_updated": "2008-09-05",
"status": "A",
"authorized_official_last_name": "STEIN",
"authorized_official_first_name": "MARC",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "856-696-3990",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": "NJ",
"license": "NJ11102",
"primary": true
},
{
"code": "1223P0300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": "NJ",
"license": "2068",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
- Cumberland Internal Medicine PA
- Cumberland Medical Associates, P.a.
- Cumberland Nephrology Associates
- Cumberland Obstetrics and Gynecology PA
- Cumberland Orthopedic Professional Association
- Robyn Cummings, WHNP-BC
- Rosemarie R. Cunningham, O.D.
- Ronald J D'Amico, R.PH.
- Frank Michael D'Orio, O.D.
- Venkata Rishika Dabbara, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.