JACQUELYN CANTOR (NPI# 1104223254) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104223254 |
| Entity Type | Individual |
| Full Name | JACQUELYN CANTOR |
| Credential | RN,CSW |
| Practice Address |
12 Roszel Rd Suite A103 Princeton NJ 08540-6234 |
| Practice Telephone | 6094190126 |
| Practice Fax Number | 6094190126 |
| Mailing Telephone | 6094190126 |
| Mailing Fax Number | 6094190126 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 44SW01073100 | NJ | Behavioral Health & Social Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
269645-1 | NY | Nursing Service Providers |
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
26NR08486500 | NJ | Nursing Service Providers |
| Street Address |
12 ROSZEL RD SUITE A103 |
| City | PRINCETON |
| State | NJ |
| Zip Code | 08540-6234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710083548 | Saju J George | Dentist | 12 Roszel Rd, Contemporary Endodontics C-200, Princeton, NJ 08540 | 2006-09-16 |
| 1326466541 | Across The Bridge | Counselor | 12 Roszel Rd, Suite A 103, Princeton, NJ 08540-6234 | 2014-04-03 |
| 1609121268 | Ascension Center for Contemplative Psychology | Social Worker | 12 Roszel Rd, Suite B204, Princeton, NJ 08540-6234 | 2012-07-19 |
| 1679744247 | Loriann Alexandria Haytas | Social Worker | 12 Roszel Rd, Suite B204, Princeton, NJ 08540-6234 | 2008-03-21 |
| 1750598884 | Richard Abraham Berke | Dentist | 12 Roszel Rd, Suite B206, Princeton, NJ 08540-6234 | 2007-05-17 |
| 1265556427 | Roberta Jean Kaplan | Counselor | 12 Roszel Rd, Suite C-103, Princeton, NJ 08540-6234 | 2007-03-16 |
| 1114080215 | Ricardo Fernandez | Psychiatry & Neurology | 12 Roszel Rd, Suite A103, Princeton, NJ 08540-6234 | 2006-12-19 |
| 1437246287 | Mohammedyusuf Modan | Psychiatry & Neurology | 12 Roszel Rd, Suite A-103, Princeton, NJ 08540-6234 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003420613 | Samantha Beatriz Manzano | Pharmacist | 301 N Harrison Street, Princeton, NJ 08540 | 2020-09-01 |
| 1306485768 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 414 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1124667589 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 415 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1215576673 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 416 Freedom Blvd, Princeton, NJ 08540 | 2020-01-03 |
| 1508405929 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 411 Freedom Blvd, Princeton, NJ 08540 | 2020-01-02 |
| 1992369698 | Suzanne Haggerty | Social Worker | 716 Executive Drive, Princeton, NJ 08540 | 2019-04-28 |
| 1700349552 | Pdp Associates LLC | Social Worker | 3490 Us Highway 1, Building 16 Suite 112, Princeton, NJ 08540 | 2019-04-09 |
| 1245722438 | Kyle Bonner | Social Worker | 166 Bunn Dr Ste 105, Princeton, NJ 08540 | 2018-06-04 |
| 1942700125 | Lifetouch Behavioral Health, LLC | Community/Behavioral Health | 112 Commons Way, Building 1, Suite 112, Princeton, NJ 08540 | 2018-02-14 |
| 1912407271 | Princeton Psychiatry & Consulting, LLC | Psychiatry & Neurology | 601 Ewing St, Suite C-10, Princeton, NJ 08540 | 2018-02-13 |
| Find all providers in zip 08540 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649887167 | Alexis Collins | Registered Nurse | 1 Federal St # 200, Camden, NJ 08103-1088 | 2020-09-29 |
| 1710597422 | Jacqueline Haydee Hunterton-anderson | Registered Nurse | 16 Church St Fl 2, Newton, NJ 07860-1715 | 2020-08-06 |
| 1003433954 | Anthony N Tangi | Registered Nurse | 1640 Whispering Woods Dr, Williamstown, NJ 08094-3366 | 2020-06-26 |
| 1114542370 | Future Hope Mental Care of Nj | Registered Nurse | 16 Brookwood Dr, Maplewood, NJ 07040-1905 | 2020-06-13 |
| 1780204941 | Zelda Rae Patterson | Registered Nurse | 36 Eder Terrace, South Orange, NJ 07079-2508 | 2020-04-17 |
| 1346878980 | Dominic Gibilisco-zykorie | Registered Nurse | 9 Tanner St Ste 103, Haddonfield, NJ 08033-2432 | 2020-03-30 |
| 1043859499 | Ebiaredo Alofe | Registered Nurse | 704 Garden St, Union, NJ 07083-6642 | 2020-01-02 |
| 1043872765 | Letisha Hogans | Registered Nurse | 765 Route 70 E Bldg A-101, Marlton, NJ 08053-2341 | 2019-07-02 |
| 1710453121 | Tarah Wright | Registered Nurse | 239 Taunton Blvd Ste A2, Medford, NJ 08055-3471 | 2018-10-23 |
| 1649717976 | Omawattie Harper | Registered Nurse | 1945 Route33, Neptune, NJ 07753 | 2017-01-25 |
| 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.