Active NPI
Kamal Animashaun
- Home Health Aide
- Sicklerville, NJ
National Provider Identifier
1619399029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- License
- 0400625238
- Practice address
- 51 Blue Stone Cir
Sicklerville, NJ 08081-1341 - Phone
- (856) 308-4333
- NPI assigned
- Jan 21, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | 0400625238 | NJ | Primary |
Addresses
Primary practice location
51 Blue Stone Cir
Sicklerville, NJ 08081-1341
Mailing address
51 Blue Stone Cir
Sicklerville, NJ 08081-1341
Phone (856) 308-4333
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0400625238 | NJ | MD | Home Health Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390262400000",
"number": "1619399029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 BLUE STONE CIR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811341",
"telephone_number": "856-308-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 BLUE STONE CIR",
"city": "SICKLERVILLE",
"state": "NJ",
"postal_code": "080811341",
"telephone_number": "856-308-4333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANIMASHAUN",
"first_name": "KAMAL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "NJ",
"license": "0400625238",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sicklerville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.