GRANT MARSHALL MYERS (NPI# 1003158502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003158502 |
Entity Type | Individual |
Full Name | GRANT MARSHALL MYERS |
Credential | PMHNP-BC |
Practice Address |
830 Bear Tavern Rd Ewing NJ 08628-1020 |
Mailing Address |
20 Research Pkwy Old Saybrook CT 06475-4214 |
Practice Telephone | 8003703651 |
Practice Fax Number | 8605100020 |
Mailing Telephone | 8003703651 |
Mailing Fax Number | 8605100020 |
Enumeration Date | 2013-03-22 |
Last Update Date | 2013-04-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00419200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902165517 | Grant E Myers | Physical Therapist | 3030 Waterview Pkwy, Richardson, TX 75080 | 2012-05-16 |
Street Address |
830 BEAR TAVERN RD |
City | EWING |
State | NJ |
Zip Code | 08628-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982995569 | Medop Behavioral Health Associates of New Jersey PC | Psychiatry & Neurology | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2011-04-29 |
1114448628 | Heather Miller | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2017-07-06 |
1013446756 | Kim Chan-baerman | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2017-06-07 |
1083142285 | Melissa Mccausland | Psychologist | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2017-06-01 |
1083149546 | Jessica Andres | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628 | 2017-04-21 |
1366815961 | Maxine Bock | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-11-04 |
1093187197 | Rachel Birmingham | Social Worker | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-28 |
1841662566 | Agiliga Muomah | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
1366814022 | Mahip Gupta | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
1891166849 | Tessandra Gulbranson | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
Find all providers in zip 08628 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982243937 | Tonnesha Kidd | Nurse Practitioner | 3 Chelmsford Dr, Ewing, NJ 08618-1809 | 2019-12-22 |
1083250484 | Olasumbo Oladeru | Nurse Practitioner | 4 Boleyn Ct, Ewing, NJ 08628-2231 | 2019-11-20 |
1740642503 | Lissa Edmond | Nurse Practitioner | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2016-03-22 |
1588281505 | Nerlande Charles | Nurse Practitioner | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 | 2020-06-26 |
1578112587 | Titilayo Julianah Gureje | Nurse Practitioner | 101 Sullivan Way, Ewing, NJ 08628-3425 | 2019-09-11 |
1215584107 | Carline F Archille | Nurse Practitioner | 101 Sullivan Way, Ewing, NJ 08628-3425 | 2019-08-24 |
1225510308 | Vaishali Desai | Nurse Practitioner | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 | 2018-09-05 |
1558803809 | Mary Jo Anne Kelly | Nurse Practitioner | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2016-11-16 |
1366814022 | Mahip Gupta | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
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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.