Individual provider Active NPI

Cicily Jeannette, DNP, APN, FNP-C

  • Rheumatology Physician
  • Vineland, NJ
National Provider Identifier
1902221864
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
26NJ00829100 Issued in NJ
Practice address
2848 S Delsea Dr Ste 2C
Vineland, NJ 08360-7042
Phone
(856) 794-5180
NPI assigned
Feb 28, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Lactation Consultant (Registered Nurse) 163WL0100X 11293198 NJ
Maternal Newborn Registered Nurse 163WM0102X 26NR13823300 NJ
Rheumatology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207RR0500X 26NJ00829100 NJ Primary
Family Nurse Practitioner 363LF0000X 26NJ00829100 NJ

Addresses

Primary practice location

2848 S Delsea Dr Ste 2C
Vineland, NJ 08360-7042

Mailing address

2848 S Delsea Dr Ste 2C
Vineland, NJ 08360-7042
Phone (856) 794-9090

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
I20180710000058 NJ Practitioner - Nurse Practitioner 6305192188 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2848 S Delsea Dr
Suite 2C
Vineland, NJ 08360-7042
Phone (856) 749-9090

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11293198NJMDLactation Consultant (Registered Nurse)
26NR13823300NJMDMaternal Newborn Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis & Rheumatology Associates of South Jersey PC Single Specialty CurrentSince Jun 18, 2020 Accepting new patients
Community Health Care, Inc. CurrentSince Jul 16, 2018 Accepting new patients
Community Health Care, Inc. Single Specialty CurrentSince Jul 16, 2018 Accepting new patients
Infusion Services of South Jersey LLC Single Specialty PastSince Nov 13, 2022 Accepting new patients

Locations

30 N Pearl St
Bridgeton, NJ 08302

335 Delsea Dr N
Glassboro, NJ 08028
Phone (856) 863-5720

1100 Liberty Pl
Sicklerville, NJ 08081
Phone (856) 875-3630

2848 S Delsea Dr
Ste 3
Vineland, NJ 08360
Phone (856) 696-0404

2848 S Delsea Dr
Ste 2C
Vineland, NJ 08360
Phone (856) 749-9090

Interoperability endpoints

  • Direct secure messaging: cicily.jeannette.p1@direct.arthritisrheum.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1902221864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR STE 2C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "856-794-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2848 S DELSEA DR STE 2C",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083607042",
            "telephone_number": "856-794-5180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANNETTE",
        "first_name": "CICILY",
        "name_prefix": "Mrs.",
        "credential": "DNP, APN, FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-28",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "NJ",
            "license": "11293198",
            "primary": false
        },
        {
            "code": "163WM0102X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Maternal Newborn",
            "state": "NJ",
            "license": "26NR13823300",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "26NJ00829100",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00829100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vineland, NJ

Sources for this page

Verify at the official NPI Registry.