NPIMap

Organization Active NPI

Famcare, Inc

  • Women's Health Nurse Practitioner
  • Vineland, NJ
National Provider Identifier
1760720635
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
80401 Issued in NJ
Legal business name
FAMCARE, INC
Practice address
80 S Main Rd
Vineland, NJ 08360-7829
Phone
(856) 691-7205
NPI assigned
Jan 28, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Authorized official

Name
Sabrina E Cannady, CPC
Title
Consultant
Phone
(856) 467-9344

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Family Planning Facility 261QA0005X 80401 NJ
Women's Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LW0102X 80401 NJ Primary

Addresses

Primary practice location

80 S Main Rd
Vineland, NJ 08360-7829

Mailing address

711 N Main St
Glassboro, NJ 08028-1639
Phone (856) 881-6117

Other identifiers 1

IdentifierTypeStateIssuer
0372374MedicaidNJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2084818Famcare, Inc80 S Main Road, Vineland, NJ 08360Provider-performed microscopySep 30, 2026

National Provider Directory

National Provider Directory
Tax ID family
Famcare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1359331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418342400000",
    "number": "1760720635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281639",
            "telephone_number": "856-881-6117",
            "fax_number": "856-863-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN RD",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607829",
            "telephone_number": "856-691-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-28",
        "last_updated": "2014-12-12",
        "status": "A",
        "authorized_official_last_name": "CANNADY",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "856-467-9344",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "NJ",
            "license": "80401",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "80401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0372374",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.