MRS. AMY DERICKS LOBER (NPI# 1104070135) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104070135 |
| Entity Type | Individual |
| Full Name | MRS. AMY DERICKS LOBER |
| Credential | APN |
| Practice Address |
1945 Rte 33 Cardiac Surgery Neptune NJ 07753-4859 |
| Mailing Address |
41 Stanford Dr Hazlet NJ 07730-2313 |
| Practice Telephone | 7327764622 |
| Mailing Telephone | 8587522826 |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00174700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00174700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1945 RTE 33 CARDIAC SURGERY |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740260181 | Kimberly Jean Mccourt | Nurse Practitioner | 1945 Rte 33, Neptune, NJ 07753-4859 | 2006-01-20 |
| 1235534900 | Cheryl Lynn Goodlow | Nurse Practitioner | 1945 Rte 33, Booker Pavilion 1st Floor, Neptune, NJ 07753-4859 | 2014-10-23 |
| 1124420914 | Robert Bruce Mohn Jr. | General Acute Care Hospital | 1945 Rte 33, Neptune, NJ 07753-4859 | 2014-09-23 |
| 1275964207 | Christina Lynn Carretta | General Acute Care Hospital | 1945 Rte 33, Neptune, NJ 07753-4859 | 2013-12-02 |
| 1013289677 | Elizabeth Anne Martin | Student in an Organized Health Care Education/Training Program | 1945 Rte 33, Neptune, NJ 07753-4859 | 2012-01-29 |
| 1871803973 | Benjamin Ira Silberman | Pharmacist | 1945 Rte 33, Neptune, NJ 07753-4859 | 2010-10-07 |
| 1487887089 | Laura Elizabeth Salerno | Registered Nurse | 1945 Rte 33, Neptune, NJ 07753-4859 | 2009-08-29 |
| 1326098542 | Atul Pasricha | Emergency Medicine | 1945 Rte 33, Jersey Shore University Medical Center, Neptune, NJ 07753-4859 | 2006-05-10 |
| 1881658250 | Daniel F Kennedy | Internal Medicine | 1945 Rte 33, Neptune, NJ 07753-4859 | 2006-04-13 |
| 1568423960 | Brian C. Policastro | Physician Assistant | 1945 Rte 33, Neptune, NJ 07753-4859 | 2006-03-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
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| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1194295378 | Jennifer Lynn Garrison | Nurse Practitioner | 332 Timber Ridge Ct, Neptune, NJ 07753-3027 | 2018-11-29 |
| 1023522349 | Stacey J. Musto | Nurse Practitioner | 1900 Corlies Ave., State Route 33, Neptune, NJ 07753-9999 | 2017-11-22 |
| 1881062008 | Dayna Soluri | Nurse Practitioner | 444 Neptune Blvd. Atlantic Cardiology, LLC, Neptune, NJ 07753-4144 | 2015-09-03 |
| 1669813390 | Joni Lynn Prentice | Nurse Practitioner | 1945 Corlies Avenue, Neptune, NJ 07753 | 2013-07-10 |
| 1811995574 | Loisann Stapleton | Nurse Practitioner | 1900 Corlies Ave, Neptune, NJ 07753-4800 | 2005-07-07 |
| 1740288406 | Emma C Stafford | Nurse Practitioner | 444 Neptune Blvd Fl 2, Neptune, NJ 07753-4800 | 2005-07-07 |
| 1649891920 | Alexis Dial | Nurse Practitioner | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-04-28 |
| 1346874625 | Adrian Benjumea | Nurse Practitioner | 1944 Corlies Ave, Suite 101, Neptune, NJ 07753 | 2020-02-26 |
| 1720611684 | Henal Shah | Nurse Practitioner | 1945 Nj-33, Neptune, NJ 07753 | 2020-02-19 |
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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.