Active NPI
The Nemours Foundation
- Multi-Specialty Clinic/Center
- Egg Harbor Township, NJ
National Provider Identifier
1720131485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- 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 FOUNDATION
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072420 | Other | NJ | MEDICARE GROUP NUMBER |
| 5030129 | Medicaid | NJ |
Other names 1
- Nemours duPont Pediatrics
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.