MIKAEL FADOUL (NPI# 1053974824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053974824 |
| Entity Type | Individual |
| Full Name | MIKAEL FADOUL |
| Practice Address |
3 Cooper Plz Rm 411 Camden NJ 08103-1438 |
| Practice Telephone | 8569636889 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-04-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
3 COOPER PLZ RM 411 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598256 | Steven Bonawitz | Plastic Surgery | 3 Cooper Plz Rm 411, Camden, NJ 08103 | 2005-12-12 |
| 1245858091 | Anna Caroline Stevens | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-08 |
| 1023635240 | Olivia Coburn-flynn | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-03 |
| 1689296766 | Swar N Vimawala | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-05-12 |
| 1700428075 | Stephanie Lynne Benko | Physician Assistant | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-10-08 |
| 1295396364 | Andrew Chia Hsueh Lin | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-27 |
| 1851950745 | Georgianna Amelia Sandilos | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-13 |
| 1386207702 | Alec Hayes Fisher | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-22 |
| 1336635929 | Clara Zhu | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2018-07-06 |
| 1811483423 | Marc Zeffren | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2018-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831728591 | Jordan Kee | Student in an Organized Health Care Education/Training Program | 45 Herrington Rd, Camden, TN 38320-6782 | 2020-04-05 |
| 1720615750 | Stephanie Mangwi Ndifor | Student in an Organized Health Care Education/Training Program | 575 Clinton St, Camden, NJ 08103-1329 | 2020-03-27 |
| 1780211771 | Huy David Dang Nguyen | Student in an Organized Health Care Education/Training Program | 1 Market St Apt 610, Camden, NJ 08102-2323 | 2020-03-27 |
| 1447887401 | Cassilyn May Wolff | Student in an Organized Health Care Education/Training Program | 1540 State Route 69, Camden, NY 13316-4318 | 2020-03-26 |
| 1043844541 | Adel Mahjoub | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 400, Camden, NJ 08103-1438 | 2020-02-24 |
| 1922669076 | Christopher Reed Edwards | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave Ste 250, Camden, NJ 08103-1505 | 2019-06-27 |
| 1588229272 | Wendy De La Rua | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave Bldg 3, Camden, NJ 08103-1505 | 2019-05-08 |
| 1841854981 | Dina Khamash | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave Rm 364, Camden, NJ 08103-1505 | 2019-04-24 |
| 1790348803 | Luke Thomas Stanisce | Student in an Organized Health Care Education/Training Program | 3 Cooper Plaza, Suite 411, Camden, NJ 08103-1438 | 2019-04-16 |
| 1083177414 | Daniel Olea-mendoza | Student in an Organized Health Care Education/Training Program | 401 Haddon Ave # 369, Camden, NJ 08103-1505 | 2019-04-11 |
| Find all providers in CAMDEN | ||||
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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.