Active NPI
Cumberland Nephrology Associates
- Nephrology Physician
- Vineland, NJ
National Provider Identifier
1710956370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- CUMBERLAND NEPHROLOGY ASSOCIATES
- Practice address
- 1318 S Main Rd
Building #3
Vineland, NJ 08360-6516 - Phone
- (856) 205-9900
- Fax
- (856) 205-0041
- NPI assigned
- Mar 16, 2006
- Reactivated
- Feb 20, 2018
- 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
- Cathy Damico
- Title
- Office Manager
- Phone
- (856) 205-9900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
1318 S Main Rd
Building #3
Vineland, NJ 08360-6516
Mailing address
1318 S Main Rd
Building #3
Vineland, NJ 08360-6516
Phone (856) 205-9900
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110035388 | Other | AARP | |
| 360907 | Other | KEYSTONE | |
| 1012159 | Other | AETNA HMO | |
| 5414616 | Other | AETNA PPO | |
| 360907 | Other | AMERIHEALTH PPO | |
| 7583702 | Medicaid | NJ | |
| 0685688000 | Other | AMERIHEALTH HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
340 Front St
Ste 104
Elmer, NJ 08318
Phone (856) 358-2556
340 Front St
#104
Elmer, NJ 08318
Phone (856) 205-9900
1318 S Main Rd
Bldg 4
Vineland, NJ 08360
17 W Red Bank Ave
Ste 202
Woodbury, NJ 08096
Phone (856) 848-9904
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nephrology Physician
- Vineland, NJ
- NPI 1861461196
-
- Family Nurse Practitioner
- Vineland, NJ
- NPI 1740712777
-
- Nephrology Physician
- Vineland, NJ
- NPI 1952531857
-
- Nephrology Physician
- Cincinnati, OH
- NPI 1235338260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1710956370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1318 S MAIN RD",
"address_2": "BUILDING #3",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606516",
"telephone_number": "856-205-9900",
"fax_number": "856-205-0041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1318 S MAIN RD",
"address_2": "BUILDING #3",
"city": "VINELAND",
"state": "NJ",
"postal_code": "083606516",
"telephone_number": "856-205-9900",
"fax_number": "856-205-0041"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CUMBERLAND NEPHROLOGY ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-16",
"last_updated": "2020-08-22",
"deactivation_date": "2017-10-24",
"reactivation_date": "2018-02-20",
"status": "A",
"authorized_official_last_name": "DAMICO",
"authorized_official_first_name": "CATHY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "856-205-9900"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AARP",
"identifier": "110035388",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE",
"identifier": "360907",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "1012159",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5414616",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "360907",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7583702",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH HMO",
"identifier": "0685688000",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vineland, NJ
- Cumberland County Guidance Center
- Cumberland Dentistry Center LLC
- Cumberland Internal Medicine
- Cumberland Internal Medicine PA
- Cumberland Medical Associates, P.a.
- Cumberland Obstetrics and Gynecology PA
- Cumberland Orthopedic Professional Association
- Cumberland Periodontal Associates, P.a.
- Robyn Cummings, WHNP-BC
- Rosemarie R. Cunningham, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.