MRS. KATHLEEN ANN CONNOLLY (NPI# 1013111947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013111947 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ANN CONNOLLY |
| Practice Address |
393 Main St Paterson NJ 07501-2815 |
| Mailing Address |
6 Stockton Rd North Haledon NJ 07508-2716 |
| Practice Telephone | 9735236220 |
| Practice Fax Number | 9738257201 |
| Mailing Telephone | 9734271820 |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26RN01698900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487117008 | Kathleen E. Connolly | Social Worker | 250 Spring St Apt 3, West Roxbury, MA 02132-5017 | 2019-04-10 |
| 1215402110 | Kathleen Connolly | Social Worker | 25 Conant Rd, Westwood, MA 02090-1015 | 2018-10-06 |
| 1861620866 | Kathleen Alyce Connolly | Clinical Nurse Specialist | 306 W 73rd St Apt 4a, New York, NY 10023-1662 | 2009-06-29 |
| 1528232444 | Kathleen Connolly | Occupational Therapist | 27 Bonnie Dr, Northport, NY 11768-1448 | 2008-04-22 |
| 1750358230 | Kathleen Riley Connolly | Physical Therapist | 1262 Wood Ln, Suite 102, Langhorne, PA 19047-1769 | 2006-03-03 |
| 1669901880 | Kathleen Marie Connolly | Counselor | 1493 Cambridge St, Cambridge, MA 02139-1047 | 2017-06-10 |
| 1336498526 | Kathleen A Connolly | Nurse Practitioner | 270 Old Hook Rd, Westwood, NJ 07675-3117 | 2012-09-03 |
| 1376866566 | Kathleen Fay Connolly | Pharmacist | 3031 Orchard Park Rd, Orchard Park, NY 14127-1208 | 2010-03-02 |
| 1578899209 | Kathleen Marie Connolly | Counselor | 218 E Tremont Ave, B, Charlotte, NC 28203-5059 | 2009-10-31 |
| 1447371067 | Kathleen Connolly | Registered Nurse | 50 N Portland St, Fond Du Lac, WI 54935-3412 | 2007-04-02 |
| Street Address |
393 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07501-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932227451 | Eva's Village | Substance Abuse Rehabilitation Facility | 393 Main St, Paterson, NJ 07501-2815 | 2007-03-26 |
| 1699018242 | Eva's Village, Inc. | Clinic/Center | 393 Main St, Paterson, NJ 07501-2815 | 2013-04-02 |
| 1922334457 | Henry Miles Sherman | Internal Medicine | 393 Main St, Eva's Village, Paterson, NJ 07501-2815 | 2009-10-17 |
| 1215118773 | Linda Marie Bowersox | Nurse Practitioner | 393 Main St, Paterson, NJ 07501-2815 | 2007-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396255691 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 368 Broadway Ave, Paterson, NJ 07501 | 2017-10-02 |
| 1437588571 | Linda Gwyn Smith | Social Worker | 21 Market St., Sjrmc-fhc, Paterson, NJ 07501 | 2013-11-08 |
| 1639508187 | Maryanne Bolton | Nurse Practitioner | 393 Main Street, Paterson, NJ 07501 | 2013-11-05 |
| 1699058545 | Martha Quecan-garcia | Pharmacist | 639 East 18 Th St, Paterson, NJ 07501 | 2011-09-27 |
| 1093994071 | Catholic Family & Community Services | Clinic/Center | 163 Rosa Parks Blvd, Paterson, NJ 07501 | 2007-10-26 |
| 1326264086 | Agnieszka Beata Toth | Dentist | 21 Market Str, Paterson, NJ 07501 | 2007-04-18 |
| 1629124193 | Paterson Dental Group Pa | Dentist | 295 Broadway, Paterson, NJ 07501 | 2007-01-26 |
| 1740371053 | Ferhana Khan | Pediatrics | 227 Broadway, Paterson, NJ 07501 | 2006-09-28 |
| 1568567428 | Farmacias Del Pueblo LLC | Pharmacy | 992-994 Madison Ave, Paterson, NJ 07501 | 2006-09-14 |
| 1962511675 | Uli Rx Inc | Pharmacist | 382 Main Street, Paterson, NJ 07501 | 2006-08-29 |
| Find all providers in zip 07501 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558830216 | Margaret Mojisola Ojelade | Nurse Practitioner | 32 Mill St, Paterson, NJ 07501-1825 | 2018-11-24 |
| 1225540446 | Jazmin Serrano | Nurse Practitioner | 34a Mill St, Paterson, NJ 07501-1825 | 2017-10-27 |
| 1568806271 | Rehana Rab | Nurse Practitioner | 101 Berkshire Ave, Paterson, NJ 07502-1872 | 2013-04-24 |
| 1700146503 | Roxanne Lotts | Nurse Practitioner | 275 Elberon Ave, Paterson, NJ 07502-1324 | 2012-05-25 |
| 1922386812 | Julio C Baquerizo | Nurse Practitioner | 555 River St, Paterson, NJ 07524-1766 | 2011-07-27 |
| 1851918114 | Andrea Romero Garces | Nurse Practitioner | 32 Hine St, Paterson, NJ 07503-2955 | 2020-07-02 |
| 1184258402 | Ma Tiffany Almendras | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2020-02-25 |
| 1912547357 | Centro Clinico LLC | Nurse Practitioner | 32 Hine St Ste 103, Paterson, NJ 07503-2955 | 2020-01-14 |
| 1649742669 | Angela Beltre | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2019-01-02 |
| 1023561149 | Yelena Ovcharik | Nurse Practitioner | 703 Main St, Paterson, NJ 07503-2621 | 2016-07-25 |
| Find all providers in PATERSON | ||||
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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.