Umdnjsom

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Legal business name

UMDNJSOM

Practice address

401 E Atlantic Ave Apt 323
Haddon Heights, NJ 08035-1740

Phone

(717) 725-6750

NPI assigned

Jul 2, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Zachary Andrew Ichter

Title

Intern

Phone

(717) 725-6750

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1982916284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E ATLANTIC AVE APT 323",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351740",
            "telephone_number": "717-725-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E ATLANTIC AVE APT 323",
            "city": "HADDON HEIGHTS",
            "state": "NJ",
            "postal_code": "080351740",
            "telephone_number": "717-725-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UMDNJSOM",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-02",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "ICHTER",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "INTERN",
        "authorized_official_telephone_number": "717-725-6750",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ann Tomshaw, APRN-C
• Ann B Townsend, RN,CNS,C,NPC
• Renee Trotter, APN
• Carly Truett, RDN
• Ellen K Turner, MD
• Nicole Valles, LPC, ACS
• Leah Valley, MSW
• Vijayendra K Verma, MD
• Danielle Vieira, C. PED
• Dilip B Viswanath, MD

• Student in an Organized Health Care Education/Training Program in Haddon Heights, NJ
• Providers in Haddon Heights, NJ by specialty
• Student in an Organized Health Care Education/Training Program in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.