NPIMap

Organization Active NPI

South Jersey Healthcare Occupational Health Services

  • Occupational Medicine Clinic/Center
  • Vineland, NJ
National Provider Identifier
1588970685
Registry record updated Jan 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
License
26NJ00272600 Issued in NJ
Legal business name
SOUTH JERSEY HEALTHCARE OCCUPATIONAL HEALTH SERVICES
Practice address
1038 E Chestnut Ave
Suite 120
Vineland, NJ 08360-5800
Phone
(856) 507-8548
Fax
(856) 507-2709
NPI assigned
Aug 26, 2010
Last updated
Jan 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2012

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

Authorized official

Name
Mrs. Kellie Mae Cervini, APN-C
Title
Nurse Practitioner
Phone
(856) 507-8548

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 26NJ00272600 NJ
Occupational Medicine Clinic/Center 261QX0100X 26NJ00272600 NJ Primary

Addresses

Primary practice location

1038 E Chestnut Ave
Suite 120
Vineland, NJ 08360-5800

Mailing address

1038 E Chestnut Ave
Suite 120
Vineland, NJ 08360-5800
Phone (856) 507-8548

National Provider Directory

National Provider Directory
Tax ID family
Emer Room Bridgeton Div19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

1038 E Chestnut Ave
Ste 120
Vineland, NJ 08360
Phone (856) 205-7070

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326931200000",
    "number": "1588970685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1038 E CHESTNUT AVE",
            "address_2": "SUITE 120",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605800",
            "telephone_number": "856-507-8548",
            "fax_number": "856-507-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1038 E CHESTNUT AVE",
            "address_2": "SUITE 120",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083605800",
            "telephone_number": "856-507-8548",
            "fax_number": "856-507-2709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY HEALTHCARE OCCUPATIONAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2012-01-19",
        "status": "A",
        "authorized_official_last_name": "CERVINI",
        "authorized_official_first_name": "KELLIE",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "856-507-8548",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NJ",
            "license": "26NJ00272600",
            "primary": false
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NJ",
            "license": "26NJ00272600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.