DR. NICOLE SESTITO (NPI# 1033553003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033553003 |
| Entity Type | Individual |
| Full Name | DR. NICOLE SESTITO |
| Credential | PH.D. |
| Practice Address |
42 E Laurel Rd Ste 1800 Stratford NJ 08084 |
| Mailing Address |
42 E Laurel Rd Ste 1800 Stratford NJ 08084-1338 |
| Practice Telephone | 8565666843 |
| Practice Fax Number | 8565662775 |
| Mailing Telephone | 8565666843 |
| Mailing Fax Number | 8565662775 |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2018-05-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | 35SI00568600 | NJ | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | PS017428 | PA | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 36384 | TX | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | 35SI00568600 | NJ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0408883 | 05 | |
| PA | 102906382 | 05 |
| Street Address |
42 E LAUREL RD STE 1800 |
| City | STRATFORD |
| State | NJ |
| Zip Code | 08084 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295715787 | John F Bertagnolli Jr. | Family Medicine | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2006-01-19 |
| 1811489420 | Rowansom Newjersey Institute for Successful Aging-geriatric Psychiatry | Psychologist | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2018-05-31 |
| 1750892030 | Megan Anne Carpenter | Nurse Practitioner | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 | 2017-10-13 |
| 1487067674 | Jesse Susan Abesh | Family Medicine | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084 | 2014-06-05 |
| 1750644928 | Leonard A Powell Jr. | Family Medicine | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2012-06-21 |
| 1336307396 | Kimberly A Covington | Nurse Practitioner | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2008-05-27 |
| 1184801672 | Cindy Louise Nolan | Nurse Practitioner | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2008-01-28 |
| 1295943462 | Rebecca Ann Smith | Nurse Practitioner | 42 E Laurel Rd Ste 1800, Stratford, NJ 08084-1338 | 2007-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780209684 | Emily Lacount | Student in an Organized Health Care Education/Training Program | Louis Balsama, D.o., Program Director, Rowansom 42 E. Laurel Rd, Stratford, NJ 08084 | 2020-06-16 |
| 1356903124 | Maziyar Daneshvar | Student in an Organized Health Care Education/Training Program | Rowansom 42 E Laurel Road, Suite 3100, Philadelphia, NJ 08084 | 2019-07-02 |
| 1598321788 | Sylvia Orozco Silberman | Student in an Organized Health Care Education/Training Program | Fm: Alison Mancuso, Do, Prog Dir, Rowansom 42 E Laurel Road, Suite 2100a, Stratford, NJ 08084 | 2019-05-14 |
| 1831682939 | Shriya Jakkidi Reddy | Student in an Organized Health Care Education/Training Program | Rowansom 42 E. Laurel Road, Suite 3100, Stratford, NJ 08084 | 2018-06-13 |
| 1003336751 | Maulik D Shah | Student in an Organized Health Care Education/Training Program | 42 East Laurel Rd, Suite 3100, Stratford, NJ 08084 | 2017-06-23 |
| 1225566946 | Bhumi Shah | Student in an Organized Health Care Education/Training Program | 18 E Laurel Road, Em: Anthony Dipasquale, Do, Prog Dir, Rowansom, Stratford, NJ 08084 | 2017-05-25 |
| 1902259393 | Ameena Javed Jiwani | Family Medicine | Rowan Som 42 E Laurel Road, Ste. 2100a, Stratford, NJ 08084 | 2016-07-20 |
| 1104276823 | Akshay Sridhar | Student in an Organized Health Care Education/Training Program | One Medical Center Drive, Suite 162, Stratford, NJ 08084 | 2016-06-14 |
| 1144692138 | Amanda Wu | Physical Therapist | 1255 Caldewell Road, Cherry Hill, NJ 08084 | 2015-10-29 |
| 1215313010 | Nathaniel Paul Havens | Student in an Organized Health Care Education/Training Program | 42 E. Laurel Rd., Suite 2100a, Stratford, NJ 08084 | 2015-08-04 |
| Find all providers in zip 08084 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467619585 | Danielle T. Digregorio | Clinical Neuropsychologist | 42 E Laurel Rd, Upd#1800, Stratford, NJ 08084-1354 | 2008-05-16 |
| 1124008511 | David J Libon | Clinical Neuropsychologist | 42 E Laurel Rd, Udp #1800, Stratford, NJ 08084-1354 | 2006-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437791993 | Dig It | Clinical Neuropsychologist | 5 Elm Ln, Rumson, NJ 07760-1001 | 2019-10-16 |
| 1255981767 | Brian Schopfer | Clinical Neuropsychologist | 792 Chimney Rock Rd Ste C, Martinsville, NJ 08836-2271 | 2019-09-17 |
| 1750866869 | Anjuli Bodapati | Clinical Neuropsychologist | 608 Sherwood Pkwy Ste 2d, Mountainside, NJ 07092 | 2018-09-25 |
| 1619496908 | Hilary F Murphy | Clinical Neuropsychologist | 1451 State Route 34 Ste 201, Wall Township, NJ 07727-1614 | 2017-09-18 |
| 1841653763 | Andrew P Brown IIi | Clinical Neuropsychologist | 31 Clinton St, Newark, NJ 07102-3729 | 2016-03-29 |
| 1053789230 | Lisa Hahn | Clinical Neuropsychologist | 916 Maple Ave, Newton, NJ 07860-4404 | 2015-09-04 |
| 1700264256 | Barbara Lauer Listhaus, Psy. D., LLC | Clinical Neuropsychologist | 513 W Mount Pleasant Ave Ste 210, Livingston, NJ 07039-1721 | 2015-05-15 |
| 1295128882 | Anne Romyr Denor | Clinical Neuropsychologist | 30 John St Apt 2c, Bloomfield, NJ 07003-5142 | 2015-03-06 |
| 1811304660 | Mallory Seidman | Clinical Neuropsychologist | 16 Inness Pl, Montclair, NJ 07042-4923 | 2014-07-14 |
| 1811325152 | Amy L. Hradil | Clinical Neuropsychologist | 2048 Oak Tree Road Center for Head Injuries, Cognitive Rehabilitation Progr, Edison, NJ 08820 | 2013-10-24 |
| 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.