Umdnj-School of Nursing

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

26NR10704500 Issued in NJ

Legal business name

UMDNJ-SCHOOL OF NURSING

Practice address

40 East Laurel Road
Suite 2061
Stratford, NJ 08084

Phone

(856) 566-6178

NPI assigned

Feb 9, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Katherine Kaulback, MSN,RN

Title

Full Time Faculty-Instructor

Phone

(856) 566-6178

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811038144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CLEMENTS HAND COURT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "08081",
            "telephone_number": "856-262-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 EAST LAUREL ROAD",
            "address_2": "SUITE 2061",
            "city": "STRATFORD",
            "state": "NJ",
            "postal_code": "08084",
            "telephone_number": "856-566-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJ-SCHOOL OF NURSING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KAULBACK",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "KATHERINE",
        "authorized_official_title_or_position": "FULL TIME FACULTY-INSTRUCTOR",
        "authorized_official_telephone_number": "856-566-6178",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSN,RN"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NJ",
            "license": "26NR10704500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Local Education Agency (LEA) in Stratford, NJ
• Providers in Stratford, NJ by specialty
• Local Education Agency (LEA) in New Jersey

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.