MRS. CICILY JEANNETTE (NPI# 1902221864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902221864 |
| Entity Type | Individual |
| Full Name | MRS. CICILY JEANNETTE |
| Credential | RNC IBCLC NP-C |
| Practice Address |
2848 S Delsea Dr Ste 2c Vineland NJ 08360-7042 |
| Practice Telephone | 8567945180 |
| Mailing Telephone | 8567949090 |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WL0100X |
Registered Nurse Specialization: Lactation Consultant |
11293198 | NJ | Nursing Service Providers |
| N | 163WM0102X |
Registered Nurse Specialization: Maternal Newborn |
26NR13823300 | NJ | Nursing Service Providers |
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
26NJ00829100 | NJ | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00829100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1106 Rios Ave, Vineland, NJ 083606814 | 8566911269 | |
| 785 W Sherman Ave, Vineland, NJ 083606913 | 8564514700 |
| Street Address |
2848 S DELSEA DR STE 2C |
| City | VINELAND |
| State | NJ |
| Zip Code | 08360-7042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003041427 | Laurie A Nichols | Registered Nurse | 2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 | 2009-05-29 |
| 1801148697 | Matthew Robert Arkebauer | Internal Medicine | 2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 | 2012-10-04 |
| 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 | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134642994 | Advocare, LLC | Internal Medicine | 1051 W Sherman Ave Ste C1b, Vineland, NJ 08360-6931 | 2017-07-24 |
| 1801148697 | Matthew Robert Arkebauer | Internal Medicine | 2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 | 2012-10-04 |
| 1609997873 | Stephen Soloway | Internal Medicine | 2848 S Delsea Dr, Bldg 2c, Vineland, NJ 08360-7042 | 2007-04-03 |
| 1255344594 | Arthritis & Rheumatology Associates of South Jersey PC | Internal Medicine | 2848 S Delsea Dr, Suite 2c, Vineland, NJ 08360 | 2006-08-15 |
| 1497789077 | David Michael Wanalista | Internal Medicine | 1206 W Sherman Ave, Building 1, Vineland, NJ 08360-6916 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245894971 | Revive Rheumatology of North Jersey, LLC | Internal Medicine | 100 Willowbrook Ct, Paramus, NJ 07652-1833 | 2019-04-29 |
| 1669981221 | Center for Arthritis and Osteoporosis PC | Internal Medicine | 1235 Whitehorse Mercerville Rd Ste 206, Trenton, NJ 08619-3810 | 2017-09-27 |
| 1073035309 | Garden State Rheumatology Associates LLC | Internal Medicine | 101 Prospect St Ste 216, Lakewood, NJ 08701-5003 | 2017-07-07 |
| 1982009551 | Humane Center for Arthritis and Rheumatism | Internal Medicine | 2424 Morris Ave Ste 110, Union, NJ 07083-5710 | 2014-10-24 |
| 1912315938 | Kenneth Truitt | Internal Medicine | 385 Hartshorn Dr, Short Hills, NJ 07078-1939 | 2014-07-23 |
| 1669888376 | Sehris Khawaja | Internal Medicine | 2 Capital Way Ste 550, Pennington, NJ 08534-2521 | 2014-07-02 |
| 1821309154 | Nickolas M Tyris | Internal Medicine | 150 Delsea Dr, Suite B, Sewell, NJ 08080-9478 | 2010-07-01 |
| 1164741641 | Michael Jay Yellin | Internal Medicine | 138 Buckingham Rd, Montclair, NJ 07043-2307 | 2010-05-24 |
| 1992940860 | Alexandru Filip Kimel | Internal Medicine | 1415 Queen Anne Road, Suite 102, Teaneck, NJ 07666 | 2008-12-08 |
| 1245481399 | Keith Kanik | Internal Medicine | 4 Friendship Ln, West Long Branch, NJ 07764-1287 | 2008-10-07 |
| 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.