NPIMap

Organization Active NPI

Famcare, Inc

  • Nurse Practitioner
  • Bridgeton, NJ
National Provider Identifier
1942548813
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FAMCARE, INC
Practice address
570 Chestnut Ave
Bridgeton, NJ 08302-1319
Phone
(856) 451-3361
Fax
(856) 453-0056
NPI assigned
Jan 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Sabrina E Cannady, CPC
Title
Consultant
Phone
(856) 467-9344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X NJ Primary

Addresses

Primary practice location

570 Chestnut Ave
Bridgeton, NJ 08302-1319

Mailing address

711 N Main St
Glassboro, NJ 08028-1639
Phone (856) 881-6117

Other identifiers 1

IdentifierTypeStateIssuer
0017205MedicaidNJ

National Provider Directory

National Provider Directory
Tax ID family
Famcare Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

570 Chestnut Ave
Bridgeton, NJ 08302
Phone (856) 451-3361

NPI Registry JSON

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

{
    "created_epoch": "1359244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1942548813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 N MAIN ST",
            "city": "GLASSBORO",
            "state": "NJ",
            "postal_code": "080281639",
            "telephone_number": "856-881-6117",
            "fax_number": "856-863-2816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 CHESTNUT AVE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "083021319",
            "telephone_number": "856-451-3361",
            "fax_number": "856-453-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-27",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "CANNADY",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "856-467-9344",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017205",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.