Jennifer McCormack, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02381100 Issued in NJ

Practice address

319 W Landis Ave
Vineland, NJ 08360-8101

Phone

(856) 691-3300

NPI assigned

Aug 22, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: jennifer.mccormack.p1@direct.cchn.nextgenshare.com

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329350400000",
    "number": "1710134671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 597",
            "address_2": "53 S LAUREL ST, 2ND FLOOR",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083020433",
            "telephone_number": "856-451-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W LANDIS AVE",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083608101",
            "telephone_number": "856-691-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMACK",
        "first_name": "JENNIFER",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-22",
        "last_updated": "2012-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02381100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Colleen T Mazzoni, CRNA
• Fred McAlpin III, DO
• Jacquelyn L McAlpin, DPM
• Charles Peter McCann, M.D.
• Chelsea McCarty, LPC
• Dianna L McDonald
• Kristyna Nicole McGee, BCBA
• Elizabeth McGrogan, OTR/L
• Christopher McIntosh, LPC
• Medexpress Urgent Care - New Jersey, Inc

• Dentist in Vineland, NJ
• Providers in Vineland, NJ by specialty
• Dentist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.