NPIMap

Organization Active NPI

Cumberland Internal Medicine

  • Internal Medicine Physician
  • Vineland, NJ
National Provider Identifier
1881618932
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MA47721 Issued in NJ
Legal business name
CUMBERLAND INTERNAL MEDICINE
Practice address
1550 E Chesnut Ave
BLDG 3 Suite a
Vineland, NJ 08361-8485
Phone
(856) 794-8700
Fax
(856) 794-2752
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Teri Yerkes
Title
Office Manager
Phone
(856) 794-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X MA47721 NJ Primary

Addresses

Primary practice location

1550 E Chesnut Ave
BLDG 3 Suite a
Vineland, NJ 08361-8485

Mailing address

1550 E Chesnut Ave
BLDG 3 Suite a
Vineland, NJ 08361-8485
Phone (856) 794-8700

Other identifiers 1

IdentifierTypeStateIssuer
3442306MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108001051 NJ Part B Supplier - Clinic/Group Practice 8426958331 Receives reassigned benefits from 10 practitioners
Practice locations: Mullica Hill, NJ; Vineland, NJ

National Provider Directory

National Provider Directory

Locations

1450 E Chestnut Ave
Ste A
Vineland, NJ 08361
Phone (856) 794-8700

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.7102002

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881618932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E CHESNUT AVE",
            "address_2": "BLDG 3 SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618485",
            "telephone_number": "856-794-8700",
            "fax_number": "856-794-2752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E CHESNUT AVE",
            "address_2": "BLDG 3 SUITE A",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618485",
            "telephone_number": "856-794-8700",
            "fax_number": "856-794-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUMBERLAND INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YERKES",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "856-794-8700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA47721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3442306",
            "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.