ETIENNE KENFACK (NPI# 1033677679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033677679 |
| Entity Type | Individual |
| Full Name | ETIENNE KENFACK |
| Credential | APN |
| Practice Address |
191 Palisade Ave Jersey City NJ 07306-1112 |
| Mailing Address |
42 Chester Ave Irvington NJ 07111-3142 |
| Practice Telephone | 2016564324 |
| Practice Fax Number | 2016564019 |
| Mailing Telephone | 8622240668 |
| Enumeration Date | 2019-03-02 |
| Last Update Date | 2019-03-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00905700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00905700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
191 PALISADE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306-1112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427099985 | Monica Mehta | Neuromusculoskeletal Medicine, Sports Medicine | 191 Palisade Ave, Jersey City, NJ 07306-1133 | 2006-06-08 |
| 1083153845 | Noemi Brizuela | Nurse Practitioner | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2017-02-13 |
| 1679017271 | Archana Kulkarni | General Practice | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2016-12-15 |
| 1033667787 | Payam Zarrinpour | Physical Therapist | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2016-09-12 |
| 1316304645 | Imee Dhir | Nurse Practitioner | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2016-01-18 |
| 1316316144 | Jalpaben Chimanlal Thummar | Physical Therapist | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2015-09-22 |
| 1760720296 | Pain and Disability Institute, P.c | Independent Medical Examiner | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2013-01-17 |
| 1750628160 | Physical Medicine and Rehabilitation Services | Neuromusculoskeletal Medicine & OMM | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2013-01-07 |
| 1841536026 | Pain and Disability Institute,pc | Independent Medical Examiner | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2012-12-17 |
| 1336485630 | Monica Mehta Md | Physical Medicine & Rehabilitation | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2012-12-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
| 1093341158 | Rene Klein | Nurse Practitioner | 550 Summit Ave Ste B1, Jersey City, NJ 07306-2700 | 2020-03-19 |
| 1407142532 | Jennifer Rodriguez | Nurse Practitioner | 264 9th St, #4m, Jersey City, NJ 07302-1635 | 2011-06-27 |
| 1295226322 | Farkhanda Izhar Farooqi | Nurse Practitioner | 230 Bergen Ave, Jersey City, NJ 07305-1522 | 2018-05-24 |
| 1215443791 | Soniya Gandhi | Nurse Practitioner | 550 Summit Ave, Jersey City, NJ 07306 | 2017-12-20 |
| 1700238953 | Mai-ling Reyes | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2016-07-11 |
| 1831558170 | Joan Margaret O'leary | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2016-02-15 |
| 1083015762 | Stephanie Corpron | Nurse Practitioner | 46 Essex St, Jersey City, NJ 07302-4508 | 2014-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
| 1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
| 1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
| 1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
| 1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
| 1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
| 1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
| 1598397481 | Jocelyne Saint-natus | Nurse Practitioner | 109 Randolph Pl, West Orange, NJ 07052-4809 | 2020-02-07 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
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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.