Individual provider Active NPI

Shekila Thomas, APN

  • Family Nurse Practitioner
  • Pleasantville, NJ
National Provider Identifier
1750849386
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00893700 Issued in NJ
Practice address
932 S Main St
Pleasantville, NJ 08232-3646
Phone
(609) 383-0880
Fax
(609) 383-0658
NPI assigned
Mar 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00893700 NJ Primary

Addresses

Primary practice location

932 S Main St
Pleasantville, NJ 08232-3646

Mailing address

1 N White Horse Pike
Hammonton, NJ 08037-1875
Phone (609) 567-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190603002799 NJ Practitioner - Nurse Practitioner 7113250341 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers Inc CurrentSince May 6, 2019 Accepting new patients
CMC Department of Medicine CurrentSince Jan 31, 2023 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Jan 31, 2023 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince May 6, 2019 Accepting new patients

Locations

800 Cooper St
Fl 4
Camden, NJ 08102
Phone (856) 342-3040

3 Cooper Plz
Rm 311
Camden, NJ 08103
Phone (856) 342-2034

1 Cooper Plz
Camden, NJ 08103
Phone (856) 342-2425

1 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

932 S Main St
Pleasantville, NJ 08232
Phone (609) 383-0880

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1551398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591228800000",
    "number": "1750849386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 N WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "080371875",
            "telephone_number": "609-567-0200",
            "fax_number": "609-567-1169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "932 S MAIN ST",
            "city": "PLEASANTVILLE",
            "state": "NJ",
            "postal_code": "082323646",
            "telephone_number": "609-383-0880",
            "fax_number": "609-383-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SHEKILA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-01",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00893700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasantville, NJ

Sources for this page

Verify at the official NPI Registry.