CMC DEPARTMENT OF MEDICINE
NPI 1104945005
Internal Medicine in Camden, NJ
About Cmc Department Of Medicine NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CMC DEPARTMENT OF MEDICINE (NPI 1104945005) is a healthcare organization registered as an internal medicine in Camden, New Jersey and active in the NPI registry since March 2007. The organization lists Robert Mcmullen, Evp Managed Care, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Cmc Department Of Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
398Medicare enrollment records show 398 clinicians reassign Medicare billing to Cmc Department Of Medicine, which bills Medicare for the services they deliver. Of these, 112 practice at this address and 272 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 32
Nearest to this location (20)
See all 398Camden, NJ 08103
Camden, NJ 08103
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Cmc Department Of Medicine's NPI number?
The NPI number for Cmc Department Of Medicine is 1104945005. It was assigned to this organization in the NPPES registry on March 29, 2007.
Where is Cmc Department Of Medicine located?
Cmc Department Of Medicine is located at 3 Cooper Plz Suite 215, Camden, NJ 08103. The listed phone number is (856) 963-2439.
What is Cmc Department Of Medicine's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Cmc Department Of Medicine enrolled in Medicare?
Yes. Cmc Department Of Medicine is registered in the Medicare PECOS enrollment system.
When is Cmc Department Of Medicine's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New Jersey, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Cmc Department Of Medicine?
According to the CMS Revalidation Reassignment List (October 2026 release), 398 clinicians in 32 Medicare specialties reassign their Medicare billing to Cmc Department Of Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (89), Neurology (51) and Cardiovascular Disease (Cardiology) (50). Of these, 112 practice at this address and 272 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Cmc Department Of Medicine was last updated on March 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Cmc Department Of Medicine · NPI 1104945005
Internal Medicine organization in Camden, New Jersey. Organization record, active in the CMS NPPES registry since March 29, 2007.
## Identity
- **NPI:** 1104945005 (Entity type: Organization)
- **Enumerated:** March 29, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Robert Mcmullen, EVP MANAGED CARE
## Practice location
- **Address:** 3 COOPER PLZ, SUITE 215, Camden, NJ 08103-1438
- **Phone:** (856) 963-2439
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New Jersey, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 398 clinicians in 32 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (89), Neurology (51), Cardiovascular Disease (Cardiology) (50); 112 practice at this address and 272 within 10 miles; [full list](https://npiprofile.com/npi/1104945005/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 19, 2008
- **Other identifiers:** Medicare PIN 183652 (NJ); Other 2577992000 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1104945005) · Data from the CMS NPPES public registry.