REBECCA L DEJESUS (NPI# 1104305887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104305887 |
| Entity Type | Individual |
| Full Name | REBECCA L DEJESUS |
| Practice Address |
1627 Chew St Ste 101 Allentown PA 18102 |
| Mailing Address |
2100 Mack Blvd Fl 4 Allentown PA 18103-5622 |
| Practice Telephone | 6109694370 |
| Practice Fax Number | 6109693445 |
| Mailing Telephone | 4848845337 |
| Mailing Fax Number | 4848840628 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-09-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
SP019156 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1627 CHEW ST STE 101 |
| City | ALLENTOWN |
| State | PA |
| Zip Code | 18102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073047205 | Margaret Spinosa | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2017-04-14 |
| 1932735651 | Valley Health Partners Community Health Center | Internal Medicine | 1627 Chew St Ste 101, Allentown, PA 18102-3648 | 2020-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548808363 | Katherine Camoni | Counselor | 451 West Chew St., Allentwon, PA 18102 | 2019-12-11 |
| 1346802931 | Kelly Alexander | Counselor | 451 W . Chew Street, Allentown, PA 18102 | 2019-07-03 |
| 1457910481 | Ayza Taimur | Internal Medicine | 1627 West Chew Street, 101, Allentown, PA 18102 | 2019-06-12 |
| 1972161602 | Emily Skutnik | Internal Medicine | Lvpp 1627 West Chew Street #101, Allentown, PA 18102 | 2019-05-29 |
| 1508336652 | Mercy A Gonzalez Devillacis | Counselor | 843 N . 6 Th St, Allentown, PA 18102 | 2018-12-03 |
| 1134611742 | Amanda Catherine Koziel | Family Medicine | 218 N. 2nd Street, Allentown, PA 18102 | 2018-05-31 |
| 1174981369 | Marcos Morales | Counselor | 462 W. Walnut Street, Allentown, PA 18102 | 2016-02-03 |
| 1740688423 | Kidspeace Children's Hospital, Inc. | Clinic/Center | 451 W. Chew St., Suite 105, Allentown, PA 18102 | 2014-12-12 |
| 1982006250 | Martha Lebron | Nurse Practitioner | 451 Chew St Ste 400, Allentown, PA 18102 | 2014-09-18 |
| 1841699741 | Nicole Tennant | Physical Therapy Assistant | 613 W Allen St, Allentown, PA 18102 | 2014-08-15 |
| Find all providers in zip 18102 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790336543 | Angela Olarte | Nurse Practitioner | 1627 Chew St Ste 403, Allentown, PA 18102-3648 | 2019-09-24 |
| 1518432194 | Annette Gomez | Nurse Practitioner | 2024 Lehigh St Ste 100, Allentown, PA 18103-4938 | 2018-10-10 |
| 1518964907 | Catherine Teresa Caruso | Nurse Practitioner | 203 Park Vista Terrace, Allentown, PA 18104 | 2005-06-30 |
| 1821532912 | Debra Phyllis Raffo | Nurse Practitioner | 1605 N Cedar Crest Blvd Ste 110b, Allentown, PA 18104-2351 | 2016-12-08 |
| 1497204788 | Loretta Ann Devivo | Nurse Practitioner | 1627 Chew St, Allentown, PA 18102-3648 | 2016-09-27 |
| 1811441256 | Katherine Penetar | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 310, Allentown, PA 18103-6224 | 2016-08-14 |
| 1902253131 | Allyson Edwards | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2016-05-18 |
| 1932572013 | Mark Harvey | Nurse Practitioner | 1230 S Cedar Crest Blvd, Ste 201, Allentown, PA 18103-6367 | 2015-11-11 |
| 1033589205 | Katie Blazusiak | Nurse Practitioner | 1250 S Cedar Crest Blvd, Ste 300, Allentown, PA 18103-6224 | 2015-10-01 |
| 1730565250 | Afanwingong Che Lafon | Nurse Practitioner | 1627 Chew St, Ground Floor, Allentown, PA 18102-3648 | 2015-08-06 |
| Find all providers in ALLENTOWN | ||||
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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.