County of Cumberland
Organization Active NPI Public Health & General Preventive Medicine Physician · Millville, NJ
NPI 1881867372 · NPPES record last updated Aug 13, 2014
Key facts
- NPI
- 1881867372
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Public Health & General Preventive Medicine Physician 2083P0901X
- Legal business name
- COUNTY OF CUMBERLAND
- Practice address
- 309 Buck Street
Millville, NJ 08332 - Phone
- (856) 327-7602
- Fax
- (856) 327-6273
- NPI assigned
- Apr 7, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Megan Sheppard
- Title
- Health Officer
- Phone
- (856) 327-7602
Corporate family (same tax ID) 2
Member organizations 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2093088 | Cumberland County Department of Health | Certificate of waiver | Mar 19, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150616000187 | NJ | Part B Supplier - Mass Immunization (Roster Biller Only) | 6608976683 | Practice locations: Millville, NJ |
National Provider Directory
- Tax ID family
- County of Cumberland
Locations
309 Buck St
Millville, NJ 08332
Phone (856) 327-7602
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health & General Preventive Medicine Physician |
2083P0901X | Yes | ||
| Public Health or Welfare Agency | 251K00000X |
Addresses
Primary practice location
309 Buck Street
Millville, NJ 08332
Mailing address
309 Buck Street
Millville, NJ 08332
Phone (856) 327-7602
Other names
- Cumberland County Health Department
Other providers in Millville, NJ
- Jennifer Consalo
- Shelley Cooper
- Kelly L Cornish
- Michael Corrado
- Derry Cottrell
- Court House Apothecary LLC
- Cumb Co Homemaker Home HLTH
- Cumberland County Guidance Center
- Cumberland County Guidance Center
- Cumberland County Guidance Center
All providers in Millville, NJ · Public Health & General Preventive Medicine Physician in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 13, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.