JENNIFER MCCORMACK (NPI# 1710134671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710134671 |
| Entity Type | Individual |
| Full Name | JENNIFER MCCORMACK |
| Credential | DMD |
| Practice Address |
319 W Landis Ave Vineland NJ 08360-8101 |
| Mailing Address |
Po Box 597 53 S Laurel St, 2nd Floor Bridgeton NJ 08302-0433 |
| Practice Telephone | 8566913300 |
| Mailing Telephone | 8564514700 |
| Enumeration Date | 2008-08-22 |
| Last Update Date | 2012-02-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 22DI02381100 | NJ | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073170668 | Jennifer Mccormack | Nurse Practitioner | 2715 Bolton Boone Dr Ste B, Desoto, TX 75115-2079 | 2019-05-20 |
| 1528513660 | Jennifer Mccormack | Early Intervention Provider Agency | 275 Perimeter St, Holbrook, NY 11741-3821 | 2016-08-18 |
| 1205015476 | Jennifer A Mccormack | Occupational Therapist | 43 Ledgewood Dr, Milford, NH 03055 | 2007-10-24 |
| 1083889414 | Jennifer M.h. Mccormack | Pediatrics | 8450 Seasons Parkway, Healthpartners Woodbury Clinic Ms 32900a, Woodbury, MN 55125-4402 | 2008-04-27 |
| Street Address |
319 W LANDIS AVE |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-8101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841309077 | Robert Helder | Dentist | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2006-08-30 |
| 1710533997 | Dana Ehrentreu | Social Worker | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2019-08-14 |
| 1023679016 | Allison Rose Peters | Counselor | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2019-06-21 |
| 1093278533 | Amanda Schuhl | Counselor | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2019-04-11 |
| 1710453923 | Omni Health Services, Inc. | Clinic/Center | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2018-10-16 |
| 1407381247 | Care Finders Total Care LLC | Home Health | 319 W Landis Ave, 2nd Floor, Vineland, NJ 08360-8101 | 2017-05-01 |
| 1790175297 | Secura Home Health LLC | Home Health | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2015-02-04 |
| 1174955702 | Rhea A Cooper | Registered Nurse | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2013-08-06 |
| 1710286042 | Deirdre M Conroy | Nurse Practitioner | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2011-03-25 |
| 1437384559 | Community Health Care, Inc | Clinic/Center | 319 W Landis Ave, Vineland, NJ 08360-8101 | 2009-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215534748 | Lindsay Gibbons | Social Worker | 60 W Ave, Vineland, NJ 08360 | 2020-10-07 |
| 1033769849 | Buena Vista Township Emergency Medical Services Inc. | Ambulance | 4931 E. Landis Ave., Vineland, NJ 08360 | 2019-09-13 |
| 1669037636 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 | 2019-05-06 |
| 1972001519 | Kyle James Knowles | Physician Assistant | 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 | 2018-01-29 |
| 1205346574 | Maryville, Inc | Clinic/Center | 1173 E Landis Ave, Vineland, NJ 08360 | 2017-10-02 |
| 1184147043 | Sarah Lee | Pharmacist | 75 W Landis Ave, Vineland, NJ 08360 | 2017-07-24 |
| 1780111419 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 30 D'shibe Terrace, Vineland, NJ 08360 | 2017-05-12 |
| 1528414810 | Khushbu V Janani | Internal Medicine | 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 | 2016-05-05 |
| 1669841409 | University Womens Imaging LLC | Clinic/Center | 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 | 2015-09-23 |
| 1710369350 | Elwyn New Jersey | Day Training, Developmentally Disabled Services | 46 N West Ave, Building A, Vineland, NJ 08360 | 2015-06-19 |
| Find all providers in zip 08360 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326505199 | Affordable Dentures - Vineland, Stephanie Harding, Dds, P.a. | Dentist | 60 W Landis Ave Ste A-2, Vineland, NJ 08360-8133 | 2019-02-27 |
| 1356697361 | Brendaliz Bristol Martir | Dentist | 1206 West Sherman Ave, Suite 4d, Vineland, NJ 08360 | 2012-07-27 |
| 1962797472 | Richard S Bradway | Dentist | 1175 Karin St, Vineland, NJ 08360-4208 | 2011-06-13 |
| 1447586243 | Holly Ann Gorsen | Dentist | 1017 East Landis Ave, Vineland, NJ 08360 | 2009-10-29 |
| 1821240219 | Puja Balchandani | Dentist | 301 South Main Road Suite B-4, Maintree Shopping Center, Vineland, NJ 08360 | 2008-10-16 |
| 1134322183 | Todd Ronald Regnaert | Dentist | 2816 Vine Rd, Vineland, NJ 08360-9225 | 2007-06-07 |
| 1891892808 | Justin Panella | Dentist | 1772 E Oak Rd, Vineland, NJ 08361-2504 | 2006-09-20 |
| 1205944733 | P John Marcucci Dds PC | Dentist | 556 North Harding Highway, Vineland, NJ 08360-8713 | 2006-08-25 |
| 1609878602 | Quality Dental Care | Dentist | 301 S Main Rd, Suite B-4, Vineland, NJ 08360-7897 | 2005-08-10 |
| 1104486315 | Ameer Najah Hadi Hadi | Dentist | 1145 E Chestnut Ave, Vineland, NJ 08360-5001 | 2019-06-19 |
| Find all providers in VINELAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.