1215559695 NPI number — RUTGERS, SCHOOL OF NURSING-CAMDEN COMMUNITY HEALTH CLINICS

Table of content: DR. DON OSCAR SMITH MD (NPI 1528155850)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1215559695 NPI number — RUTGERS, SCHOOL OF NURSING-CAMDEN COMMUNITY HEALTH CLINICS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
RUTGERS, SCHOOL OF NURSING-CAMDEN COMMUNITY HEALTH CLINICS
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1215559695
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
530 FEDERAL STREET, NURSING & SCIENCE BUILDING
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CAMDEN
Provider Business Mailing Address State Name:
NJ
Provider Business Mailing Address Postal Code:
08102
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
856-225-6876
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
THE BRANCHES HEALTH CENTER
Provider Second Line Business Practice Location Address:
1700 SOUTH 9TH STREET
Provider Business Practice Location Address City Name:
CAMDEN
Provider Business Practice Location Address State Name:
NJ
Provider Business Practice Location Address Postal Code:
08104
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
856-225-2983
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/08/2020

Additional Information

Authorized Official

Authorized Official Last Name:
NICKITAS
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
Authorized Official Title or Position:
DEAN AND PROFESSOR
Authorized Official Telephone Number:
856-225-6876

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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