SAMANTHA GOLDKLANG (NPI# 1003290420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1003290420 |
Entity Type | Individual |
Full Name | SAMANTHA GOLDKLANG |
Credential | NP |
Practice Address |
218 Jay St Wood-ridge NJ 07075 |
Practice Telephone | 2012805232 |
Mailing Telephone | 2012805232 |
Enumeration Date | 2015-07-15 |
Last Update Date | 2016-05-04 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
382612 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
218 JAY ST |
City | WOOD-RIDGE |
State | NJ |
Zip Code | 07075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467992156 | Jeremy Thomas Goldklang | Specialist/Technologist | 218 Jay Street, Wood Ridge, NJ 07075 | 2017-03-01 |
1891183133 | Meaghan Durham | Specialist/Technologist | 29 Wesmont Drive, Wood Ridge, NJ 07075 | 2015-01-08 |
1831473065 | Juan A Castro | Behavioral Analyst | 358 Hackensack Street, D, Wood-ridge, NJ 07075 | 2011-10-06 |
1568600443 | Jamea R. Olivari | Dentist | 163 Valley Blouevard, Wood Ridge, NJ 07075 | 2009-01-30 |
1518979186 | Theodore Paul Masotti | Pharmacist | 211 Hackensack Street, Wood Ridge, NJ 07075 | 2006-08-12 |
1841405008 | Maria Vita Pantano | Family Medicine | 245 Valley Blvd, Wood Ridge, NJ 07075 | 2007-05-11 |
1427541929 | Lisandra Quinoy Pena | Dentist | 300 Avalon Dr Unit 3244, Wood Ridge, NJ 07075-1015 | 2018-06-08 |
1114324308 | Myong Sun Choe | General Acute Care Hospital | 300 Avalon Dr Unit 3306, Wood Ridge, NJ 07075-1024 | 2014-12-03 |
1649539248 | Yihao Jiang | Anesthesiology | 401 Avalon Dr Unit 4212, Wood Ridge, NJ 07075-1059 | 2012-05-16 |
1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
Find all providers in zip 07075 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
1558985812 | Kristine Esguerra | Nurse Practitioner | 853 Sheridan St, Union, NJ 07083-6564 | 2020-06-02 |
1699398495 | Shannon Gorman | Nurse Practitioner | 856 S White Horse Pike Unit 2, Hammonton, NJ 08037-2032 | 2020-05-27 |
1730738550 | Sarah Williston | Nurse Practitioner | 254b Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 | 2019-09-04 |
1194285346 | Sameh S Georgy | Nurse Practitioner | 17 Columbia Dr, Marlton, NJ 08053-3521 | 2019-03-22 |
1497211064 | Dana Paglia | Nurse Practitioner | 1230 Parkway Ave Ste 303, Ewing, NJ 08628-3018 | 2019-02-19 |
1407311830 | Kristi L Mulvey | Nurse Practitioner | 300 2nd Ave Ste Sh013, Long Branch, NJ 07740-6303 | 2019-02-11 |
1366916835 | Chelsea Laufer | Nurse Practitioner | 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080-9344 | 2019-01-17 |
1659860757 | Daniela A Moscarella | Nurse Practitioner | 300 Candlewood Cmns, Howell, NJ 07731-2170 | 2018-05-03 |
1265949655 | Teresa Marie Mahoney | Nurse Practitioner | 575 Route 28 Bldg B, Raritan, NJ 08869-1354 | 2018-01-07 |
Find all providers with the same taxonomy |
City | WOOD-RIDGE |
Zip Code | 07075 |
Please comment or provide details below to improve the information on SAMANTHA GOLDKLANG.
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.