PHILADELPHIA VAMC (NPI# 1841608882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841608882 |
| Entity Type | Organization |
| Organization Name | PHILADELPHIA VAMC |
| Other Organization Name | CAMDEN VA CLINIC |
| Practice Address |
300 S Broadway Suite 103 Camden NJ 08103-1210 |
| Mailing Address |
Po Box 3007 Lebanon PA 17042-3007 |
| Practice Telephone | 7172776565 |
| Mailing Telephone | 7172776565 |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2015-09-29 |
| Authorized Official Name | ERIN POTTER (NPI TEAM MEMBER) |
| Authorized Official Telephone | 2023822579 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QV0200X |
Clinic/Center Specialization: VA |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CAMDEN VA CLINIC | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134517360 | Philadelphia Vamc | Clinic/Center | 4219 Chestnut St, Philadelphia, PA 19104-3014 | 2014-12-22 |
| 1750324406 | Philadelphia Vamc | Clinic/Center | 3000 Lincoln Drive, Suite E, Marlton, NJ 08053-1500 | 2006-06-13 |
| 1679933048 | Philadelphia Vamc | Psychiatric Residential Treatment Facility | 1425 Snyder Ave, Philadelphia, PA 19145-2317 | 2016-02-29 |
| 1316324486 | Philadelphia Vamc | Clinic/Center | 213 N 4th St, Philadelphia, PA 19106-1801 | 2015-04-28 |
| 1689618795 | Philadelphia Vamc | Clinic/Center | 433 Caredean Dr, Horsham, PA 19044-1321 | 2006-06-16 |
| 1669426086 | Philadelphia Vamc | Clinic/Center | 211 County House Rd, Sewell, NJ 08080-2525 | 2006-05-20 |
| 1659321693 | Philadelphia Vamc | Skilled Nursing Facility | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-11 |
| 1124077144 | Philadelphia Vamc | Department of Veterans Affairs (VA) Pharmacy | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2006-05-08 |
| Street Address |
300 S BROADWAY SUITE 103 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942405063 | Assumpta N Nwachukwu | Nurse Practitioner | 300 S Broadway, Camden, NJ 08103-1210 | 2007-06-19 |
| 1861635930 | Esther M. Williams | Technician/Technologist | 300 S Broadway, Suite 102, Camden, NJ 08103-1210 | 2009-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 261QV0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | VA |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114128832 | Philadelphia Va Medical Center | Clinic/Center | 8th and Alabama St, Building 5437, Fort Dix, NJ 08640 | 2007-05-30 |
| 1558304535 | East Orange Vamc | Clinic/Center | 540 W Hanover Ave Fl 2, Morristown, NJ 07960-2500 | 2006-06-14 |
| 1750324406 | Philadelphia Vamc | Clinic/Center | 3000 Lincoln Drive, Suite E, Marlton, NJ 08053-1500 | 2006-06-13 |
| 1053351866 | Wilmington Vamc | Clinic/Center | 79 W Landis Ave, Vineland, NJ 08360-8122 | 2006-06-08 |
| 1932148889 | East Orange Vamc | Clinic/Center | 3635 Quakerbridge Rd, Hamilton, NJ 08619-1247 | 2006-06-06 |
| 1366489379 | East Orange Vamc | Clinic/Center | 14 Wills Way, Bldg 4, Piscataway, NJ 08854-3770 | 2006-05-31 |
| 1508480393 | Estefania Pilar Cabezas | Clinic/Center | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-06-08 |
| 1912443243 | East Orange Vamc | Clinic/Center | 222 High St, Suite 103, Newton, NJ 07860-9604 | 2017-01-10 |
| 1053776385 | East Orange Vamc | Clinic/Center | 20 Washington Pl, Newark, NJ 07102-3127 | 2015-12-31 |
| 1720131287 | Wilmington Vamc | Clinic/Center | 1 Munro Ave, Uscg Training Center Disp, Cape May, NJ 08204-5000 | 2007-01-19 |
| Find all providers with the same taxonomy | ||||
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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.