Organization Active NPI

The Nemours Foundation

  • Multi-Specialty Clinic/Center
  • Egg Harbor Township, NJ
National Provider Identifier
1720131485
Registry record updated May 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
THE NEMOURS FOUNDATION
Practice address
2500 English Creek Ave
Suite 1001
Egg Harbor Township, NJ 08234-5549
Phone
(609) 641-3700
Fax
(302) 651-4549
NPI assigned
Jan 18, 2007
Organization subpart
Yes
Parent organization
THE NEMOURS FOUNDATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 31, 2013

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

Authorized official

Name
Mr. Rodney A McKendree
Title
VP, Finance
Phone
(904) 697-5628

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Genetics Clinic/Center 261QG0250X
Hearing and Speech Clinic/Center 261QH0700X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Multi-Specialty Clinic/Center 261QM1300X Primary
Medical Specialty Clinic/Center 261QM2500X
Primary Care Clinic/Center 261QP2300X
Research Clinic/Center 261QR1100X
Oncology Clinic/Center 261QX0200X

Addresses

Primary practice location

2500 English Creek Ave
Suite 1001
Egg Harbor Township, NJ 08234-5549

Mailing address

PO Box 404112
C/O Managed Care
Atlanta, GA 30384-4112
Phone (904) 390-3610

Other identifiers 2

IdentifierTypeStateIssuer
072420OtherNJMEDICARE GROUP NUMBER
5030129MedicaidNJ

Other names 1

  • Nemours duPont Pediatrics Other name

National Provider Directory

National Provider Directory
Part of
Nemours Children'S Health Lakeland Specialty Care

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369958400000",
    "number": "1720131485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 404112",
            "address_2": "C/O MANAGED CARE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303844112",
            "telephone_number": "904-390-3610",
            "fax_number": "904-697-5630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "SUITE 1001",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-641-3700",
            "fax_number": "302-651-4549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEMOURS FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE NEMOURS FOUNDATION",
        "enumeration_date": "2007-01-18",
        "last_updated": "2013-05-31",
        "status": "A",
        "authorized_official_last_name": "MCKENDREE",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "904-697-5628",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "072420",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5030129",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nemours duPont Pediatrics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Egg Harbor Township, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2013; 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.