Organization Active NPI

Burlington County

  • Public Health or Welfare Agency
  • Westampton, NJ
National Provider Identifier
1649312620
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
License
70391 Issued in NJ
Legal business name
BURLINGTON COUNTY
Practice address
15 Pioneer Blvd
Westampton, NJ 08060-3825
Phone
(609) 265-5548
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Ms. Ingrid G. Kozmin
Title
Fiscal Officer
Phone
(609) 265-5548

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X 70391 NJ Primary

Addresses

Primary practice location

15 Pioneer Blvd
Westampton, NJ 08060-3825

Mailing address

PO Box 6000
Mt. Holly, NJ 08060
Phone (609) 265-5548

Other identifiers 1

IdentifierTypeStateIssuer
0032204MedicaidNJ

Other names 1

  • Burlington County Health Department Other name

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
31D0653051Burlington County Health Department15 Pioneer Boulevard, Westampton, NJ 08060ComplianceJul 31, 2026
31D2342157Burlington County Health Department-15 Pioneer Blvd, Westampton, NJ 08060Certificate of waiverApr 13, 2028

National Provider Directory

National Provider Directory

Locations

15 Pioneer Blvd
Westampton, NJ 08060
Phone (609) 265-5291

15 Pioneer Blvd
#6000
Westampton, NJ 08060
Phone (609) 265-5548

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1649312620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6000",
            "city": "MT. HOLLY",
            "state": "NJ",
            "postal_code": "08060",
            "telephone_number": "609-265-5548",
            "fax_number": "609-265-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PIONEER BLVD",
            "city": "WESTAMPTON",
            "state": "NJ",
            "postal_code": "080603825",
            "telephone_number": "609-265-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BURLINGTON COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "KOZMIN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "FISCAL OFFICER",
        "authorized_official_telephone_number": "609-265-5548",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "NJ",
            "license": "70391",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032204",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Burlington County Health Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Westampton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.