Individual provider Active NPI

Candice Paul, APN

  • Family Nurse Practitioner
  • Hammonton, NJ
National Provider Identifier
1972897775
Registry record updated May 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
26NJ00327800 Issued in NJ
Practice address
860 S White Horse Pike
Hammonton, NJ 08037
Phone
(609) 567-0200
NPI assigned
Jun 9, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 26NJ00327800 NJ Primary

Addresses

Primary practice location

860 S White Horse Pike
Hammonton, NJ 08037

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
0266272MedicaidNJ

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
I20110912000055 NJ Practitioner - Nurse Practitioner 9638340235 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cooper Physician Offices PAGroup PAC ID 2860396611, 326 clinicians

Practice addresses (Care Compare)

1 Cooper PLZ
Camden, NJ 08103-1461
Phone (856) 342-2000

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-3000

1103 N Kings Hwy 203
Cherry Hill, NJ 08034
Phone (856) 321-1919

1210 Brace Rd
Cherry Hill, NJ 08034-3213

2 Cooper PLZ
Camden, NJ 08103-1461
Phone (855) 632-2667

23 Cooper PLZ
Suite 311
Camden, NJ 08103-1461
Phone (856) 342-3044

501 N Kings Hwy
Cherry Hill, NJ 08034
Phone (856) 667-3300

90 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 355-6000

92 Brick Rd
Marlton, NJ 08053-2177
Phone (856) 342-3150

Hospital & facility affiliations

  • Cooper University Hospital Hospital, Camden, NJ, CCN 310014
  • West Jersey Hospital Hospital, Voorhees, NJ, CCN 310022

Merit-based Incentive Payment System (MIPS)

Final score
99.52 of 100Reported as apm
Quality
81.58
Promoting interoperability
99.4
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Jersey Family Medical Centers, Inc CurrentSince Jul 9, 2011 Accepting new patients
Southern Jersey Family Medical Centers Inc CurrentSince Jul 9, 2011 Accepting new patients
Cooper Physician Offices, PA CurrentSince Apr 6, 2014 Accepting new patients

Locations

333 Irving Ave
Bridgeton, NJ 08302
Phone (856) 575-4500

1 Federal St
Ste SW200
Camden, NJ 08103
Phone (856) 356-4920

1210 Brace Rd
Cherry Hill, NJ 08034
Phone (609) 428-6616

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

92 Brick Rd
Marlton, NJ 08053
Phone (856) 988-4124

310 Salem Woodstown Rd
Salem, NJ 08079
Phone (856) 339-6054

1505 W Sherman Ave
Vineland, NJ 08360
Phone (856) 451-6600

509 N Broad St
Woodbury, NJ 08096
Phone (856) 686-5396

Organizations & group practices 3

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 3

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": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462233600000",
    "number": "1972897775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-567-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 S WHITE HORSE PIKE",
            "city": "HAMMONTON",
            "state": "NJ",
            "postal_code": "08037",
            "telephone_number": "609-567-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAUL",
        "first_name": "CANDICE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2016-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00327800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266272",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hammonton, NJ

Sources for this page

Verify at the official NPI Registry.