TANNEH PAULENNA AGBOOLA (NPI# 1013318864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013318864 |
| Entity Type | Individual |
| Full Name | TANNEH PAULENNA AGBOOLA |
| Credential | APN |
| Practice Address |
1435 Liberty St Hamilton NJ 08629-2220 |
| Practice Telephone | 6095995433 |
| Practice Fax Number | 6094754662 |
| Mailing Telephone | 6095995433 |
| Mailing Fax Number | 6094754662 |
| Enumeration Date | 2014-09-11 |
| Last Update Date | 2014-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00500900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1435 LIBERTY ST |
| City | HAMILTON |
| State | NJ |
| Zip Code | 08629-2220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588939169 | Barbara Weiner | Specialist | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-03-15 |
| 1871844985 | Nicole Maree Robinson | Social Worker | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-28 |
| 1215288394 | Melissa Weisel | Social Worker | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-28 |
| 1730430828 | Bethany Susan Degeorge | Social Worker | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-28 |
| 1992056311 | Sun Ja Park | Dietitian, Registered | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-09-25 |
| 1568719946 | Erinn O'connor-stover | Physical Therapist | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-08-05 |
| 1992051601 | Lee Ann Folk | Occupational Therapist | 1435 Liberty St, Hamilton, NJ 08629-2220 | 2012-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568545200 | Ivan David Popkin | Dentist | 521 South Olden Avenue, Trenton, NJ 08629 | 2006-10-24 |
| 1962427922 | Nahid Memon | Internal Medicine | 735 Hamilton Ave, Hamilton Hospitalists, Trenton, NJ 08629 | 2006-07-12 |
| 1528610953 | Pravin Thomas | Student in an Organized Health Care Education/Training Program | St Francis Medical Center, 601 Hamilton Ave., Trenton, Nj 08629, Trenton, NJ 08629 | 2019-07-16 |
| 1710496799 | Lisa Marie Grine | Nurse Practitioner | 601 Hamilton Ave, Trenton, NJ 08629 | 2017-09-22 |
| 1699221309 | Naresh Kumar | Student in an Organized Health Care Education/Training Program | 601 Hamilton Avenue, St. Francis Medical Center, Trenton, NJ 08629 | 2016-09-01 |
| 1306298377 | Muhammad Shabbir Ijaz | Emergency Medicine | 601 Hamilton Ave, Trenton, NJ 08629 | 2016-07-01 |
| 1962829390 | Sylwia Sasinowska | Student in an Organized Health Care Education/Training Program | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| 1023435450 | Samridhi Amba | Internal Medicine | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| 1386061729 | Waqas Javed Siddiqui | Student in an Organized Health Care Education/Training Program | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| 1245657683 | Neeharika Mettupalli | Internal Medicine | 601 Hamilton Ave, St. Francis Medical Center - Department of Medicine, Trenton, NJ 08629 | 2014-03-24 |
| Find all providers in zip 08629 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902410111 | Alicia Phalon Brown | Nurse Practitioner | 3090 Mcbride Ct Ste B, Hamilton, OH 45011-0812 | 2020-09-04 |
| 1316483852 | Emily Michelle Ramiro | Nurse Practitioner | 2091 Klockner Rd, Hamilton, NJ 08690-3416 | 2017-01-08 |
| 1851769764 | Jessica Nicole Poe | Nurse Practitioner | 543 Park Ave, Hamilton, OH 45013-3033 | 2015-09-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760098677 | Lauren Olmstead | Nurse Practitioner | 317 George St Ste 440, New Brunswick, NJ 08901-2008 | 2020-09-17 |
| 1275151961 | Natacha Jharahy | Nurse Practitioner | 2194 Stecher Ave, Union, NJ 07083-5252 | 2020-07-08 |
| 1477178424 | Dorota Mironiuk | Nurse Practitioner | 17 Reagan Way, Kinnelon, NJ 07405-2738 | 2020-06-15 |
| 1770111320 | Adrian A Sanchez | Nurse Practitioner | 28 Springbrook Rd E, Montville, NJ 07045-9162 | 2020-03-30 |
| 1356977409 | Gayle M Pistilli | Nurse Practitioner | 271 Cindy St, Old Bridge, NJ 08857-3060 | 2020-03-20 |
| 1578193876 | Melonie D Smith | Nurse Practitioner | 39 E 39th St Apt 4p, Paterson, NJ 07514-1163 | 2020-01-25 |
| 1710529151 | Anna M Comayagua | Nurse Practitioner | 82 Crab Apple Hill Rd, Milford, NJ 08848-1803 | 2019-10-16 |
| 1740830157 | Trisha Boland | Nurse Practitioner | 133 Center St Unit B2, New Milford, NJ 07646-2653 | 2019-09-17 |
| 1881242840 | Emily Lott | Nurse Practitioner | 1865 Rte 70 E, Cherry Hill, NJ 08003 | 2019-09-03 |
| 1528532397 | Jill Marie Generelli | Nurse Practitioner | 972 Hwy 36, Hazlet, NJ 07730-1700 | 2019-01-15 |
| 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.