Jaclyn Cammarata, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

26NJ00542100 Issued in NJ

Practice address

300 Lexington Rd Ste 200
Woolwich Township, NJ 08085-1278

Phone

(856) 241-2111

Fax

(856) 241-2243

NPI assigned

Apr 15, 2015

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advocare, LLC

  • Pediatrics Physician
  • Marlton, NJ
  • NPI 1770538696
  Medicare reassignment NPD
• Advocare , LLC

  dba Advocare Berlin Medical Associates (DME)

  • Internal Medicine Physician
  • Manahawkin, NJ
  • NPI 1912762162
  NPD
• Ivy Pediatrics, PA

  • Pediatrics Physician
  • Manalapan, NJ
  • NPI 1871660407
  NPD (past)

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

{
    "created_epoch": "1429056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982090015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD STE 200",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-241-2111",
            "fax_number": "856-241-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LEXINGTON RD STE 200",
            "city": "WOOLWICH TOWNSHIP",
            "state": "NJ",
            "postal_code": "080851278",
            "telephone_number": "856-241-2111",
            "fax_number": "856-241-2243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1304 Laurel Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434310",
            "country_code": "US",
            "telephone_number": "856-346-3300",
            "fax_number": "856-435-4223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 Laurel Oak Rd",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080434310",
            "country_code": "US",
            "telephone_number": "856-346-3300",
            "fax_number": "856-435-4223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAMMARATA",
        "first_name": "JACLYN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00542100",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00542100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advoserv of New Jersey, Inc.
• Robert Lee Baerman Jr., M.S., ATC
• Tierra J Brown, MSW, LCSW
• Center Square Plaza Supermarket, LLC (ShopRite Pharmacy Dept. #591)
• Jamie Michele Clement, APN
• Joseph Christopher Davis, RPH
• Pritiben B Desai, APN
• Devereux Foundation (Devereux Advanced Behavioral Health)

• Primary Care Nurse Practitioner in Woolwich Township, NJ
• Providers in Woolwich Township, NJ by specialty
• Primary Care Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.