Individual provider Active NPI

Shirley George-Cook, CNM

  • Advanced Practice Midwife
  • Egg Harbor Township, NJ
National Provider Identifier
1912924580
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00018301 Issued in NJ
Practice address
2500 English Creek Ave
Suite 214
Egg Harbor Township, NJ 08234-5549
Phone
(609) 677-7211
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00018301 NJ Primary

Addresses

Primary practice location

2500 English Creek Ave
Suite 214
Egg Harbor Township, NJ 08234-5549

Mailing address

26 Northridge Dr
Mays Landing, NJ 08330-4920
Phone (609) 484-9142

Other identifiers 1

IdentifierTypeStateIssuer
5189606MedicaidNJ

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071108000587 NJ Practitioner - Certified Nurse Midwife (CNM) 7911094933 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00018301NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanticare Physician Group PA Current Accepting new patients
Atlanticare Physician Group CurrentSince Oct 1, 2007 Accepting new patients
Atlanticare Physician Group, PA CurrentSince Oct 1, 2007 Accepting new patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jan 13, 2010 Accepting new patients
Southern Jersey Family Medical Centers, Inc. CurrentSince Jan 13, 2010 Accepting new patients

Locations

3003 English Creek Ave
Ste C6
Egg Harbor Twp, NJ 08234
Phone (609) 481-3185

2500 English Creek Ave
Bldg 600
Egg Harbor Twp, NJ 08234
Phone (609) 407-2337

2500 English Creek Ave
Ste 214
Egg Harbor Twp, NJ 08234
Phone (609) 909-0200

2500 English Creek Ave
Ste 1000
Egg Harbor Twp, NJ 08234
Phone (609) 383-6400

2500 English Creek Ave
Ste 602
Egg Harbor Twp, NJ 08234
Phone (609) 272-6340

860 S White Horse Pike
Hammonton, NJ 08037
Phone (609) 567-0200

219 N White Horse Pike
Hammonton, NJ 08037
Phone (609) 878-9729

459 Route 9 S
Little Egg Harbor Twp, NJ 08087
Phone (609) 340-7815

65 W Jimmie Leeds Rd
Pomona, NJ 08240
Phone (609) 484-6414

443 Shore Rd
Ste 101
Somers Point, NJ 08244
Phone (609) 569-7830

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1912924580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 NORTHRIDGE DR",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083304920",
            "telephone_number": "609-484-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ENGLISH CREEK AVE",
            "address_2": "SUITE 214",
            "city": "EGG HARBOR TOWNSHIP",
            "state": "NJ",
            "postal_code": "082345549",
            "telephone_number": "609-677-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEORGE-COOK",
        "first_name": "SHIRLEY",
        "name_prefix": "Ms.",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00018301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5189606",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Egg Harbor Township, NJ

Sources for this page

Verify at the official NPI Registry.