SPISOBOD CONNECTION (NPI# 1083278949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083278949 |
| Entity Type | Organization |
| Organization Name | SPISOBOD CONNECTION |
| Practice Address |
270 Davidson Ave Somerset NJ 08873-4140 |
| Mailing Address |
Po Box 6371 Somerset NJ 08875-6371 |
| Practice Telephone | 2016500438 |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-04-25 |
| Authorized Official Name | UCHE O' KEEM (OWNER) |
| Authorized Official Telephone | 2016500438 |
| Authorized Official Credential | NP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
270 DAVIDSON AVE |
| City | SOMERSET |
| State | NJ |
| Zip Code | 08873-4140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689752016 | Maryanne Minischetti | Nurse Practitioner | 270 Davidson Ave, Somerset, NJ 08873-4140 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982204939 | Mark Anthony Diehl | Physical Medicine & Rehabilitation | 1553 State Highway 27, Suite 3100, Somerset, NJ 08873 | 2020-10-29 |
| 1447859483 | Somerset Senior Care, LLC | Assisted Living Facility | 1870 Easton Avenue, Somerset, NJ 08873 | 2020-10-21 |
| 1902415748 | Theranorth Services, LLC | Day Training, Developmentally Disabled Services | 1075 Easton Ave., Tower 2 #4, Somerset, NJ 08873 | 2020-07-28 |
| 1710461157 | Rachnaben Tripathi | Clinic/Center | New Life Adult Daycare, 727 Franklin Blvd., Suite 6, Somerset, NJ 08873 | 2018-09-21 |
| 1487149431 | Dungarvin New Jersey, LLC-rachel | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Rachel Court, Somerset, NJ 08873 | 2018-06-22 |
| 1881192714 | Maggy Lawrence | Nurse Practitioner | 1553 Nj-27, Somerset, NJ 08873 | 2018-01-25 |
| 1548779333 | Alternatives, Inc. | Community/Behavioral Health | 10 Vince Rd, Somerset, NJ 08873 | 2017-09-25 |
| 1659893014 | John Okoye | Case Manager/Care Coordinator | 873 Hamilton Street Unit A, Somerset, NJ 08873 | 2017-07-07 |
| 1245766252 | Salma Khan | Dentist | 1543 Nj 27, Somerset, NJ 08873 | 2017-05-11 |
| 1861927238 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1jfk Boulevard, Unit 1f, Somerset, NJ 08873 | 2017-04-24 |
| Find all providers in zip 08873 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649763046 | Amber R Messamore | Nurse Practitioner | 200 Belmont Avenue, Somerset, KY 42501 | 2018-06-11 |
| 1851814529 | Heena M Patel | Nurse Practitioner | 19b Dellwood Ln, Somerset, NJ 08873-1551 | 2017-07-24 |
| 1336559533 | Blessing Rosemary Nwele | Nurse Practitioner | 20 Sunflower Rd, Somerset, NJ 08873-7153 | 2014-04-28 |
| 1689752016 | Maryanne Minischetti | Nurse Practitioner | 270 Davidson Ave, Somerset, NJ 08873-4140 | 2006-11-02 |
| 1932190212 | Sally R. Mcenroe | Nurse Practitioner | 101 Hardin Ln, Somerset, KY 42503-3814 | 2005-11-04 |
| 1003477381 | Patricia Davis Cunningham | Nurse Practitioner | 130 Southern School Rd, Somerset, KY 42501 | 2019-06-26 |
| 1508341959 | Andrea S Gifford | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2018-10-02 |
| 1538561618 | Carol Price | Nurse Practitioner | 104 Hardin Ln, Somerset, KY 42503-3800 | 2014-09-21 |
| 1003251612 | Angela Jo Cain | Nurse Practitioner | 200 Belmont Ave, Somerset, KY 42501 | 2013-05-09 |
| 1801189261 | Lenora Frances Debord | Nurse Practitioner | 259 Parkers Mill Rd, Somerset, KY 42501-3152 | 2011-05-18 |
| Find all providers in SOMERSET | ||||
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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.