PAUL IYAHEN (NPI# 1104377068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104377068 |
| Entity Type | Individual |
| Full Name | PAUL IYAHEN |
| Credential | RN |
| Practice Address |
393 Central Ave Newark NJ 07103-2842 |
| Practice Telephone | 9734833444 |
| Practice Fax Number | 9734857080 |
| Mailing Telephone | 9734833444 |
| Mailing Fax Number | 9734857080 |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2016-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
26NR12381500 | NJ | Nursing Service Providers |
| Street Address |
393 CENTRAL AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2842 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053426510 | Vito Angelo Dituri | Pharmacist | 393 Central Ave, Newark, NJ 07103-2842 | 2006-08-21 |
| 1588226237 | Premier Health Pharmacy Corporation | Pharmacy | 393 Central Ave, Newark, NJ 07103-2842 | 2019-07-02 |
| 1942763537 | Apex Specialty Pharmacy, LLC | Pharmacy | 393 Central Ave, Newark, NJ 07103-2842 | 2019-04-10 |
| 1679063242 | North Jersey Community Research Initiative | Clinic/Center | 393 Central Ave, Newark, NJ 07103-2842 | 2018-05-18 |
| 1568951168 | North Jersey Community Research Initiative | Clinic/Center | 393 Central Ave, Newark, NJ 07103-2842 | 2018-05-09 |
| 1326596362 | Joseph Kiper | Registered Nurse | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-20 |
| 1033666144 | Dorinda Coleman | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-07 |
| 1407303514 | Sidsel Venger | Social Worker | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-07 |
| 1730636929 | Steve Morris | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-06 |
| 1487100657 | Njcri Physicians Group PC | Counselor | 393 Central Ave, Newark, NJ 07103-2842 | 2016-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518472596 | Michael Walters | Registered Nurse | 241 Ravine Bluff Dr, Newark, OH 43055-9212 | 2017-12-12 |
| 1841228830 | Lorraine Wolfson | Registered Nurse | 687 Frelinghuysen Ave, American Habitare and Counseling Inc, Newark, NJ 07114-1349 | 2006-06-29 |
| 1720604986 | Mathias Omon Ologbosele | Registered Nurse | 615 S 19th St, Newark, NJ 07103-1116 | 2020-06-23 |
| 1689209777 | Debussy and Associates Behavioral Health LLC | Registered Nurse | 412 Capitol Trl, Newark, DE 19711-3865 | 2020-03-09 |
| 1326596362 | Joseph Kiper | Registered Nurse | 393 Central Ave, Newark, NJ 07103-2842 | 2016-09-20 |
| 1215368410 | Joshua Menard | Registered Nurse | 100 Rockford Dr, Newark, DE 19713-2120 | 2013-12-12 |
| 1821329863 | Lois Marie Prusinowski | Registered Nurse | 1445 W Main St, Newark, OH 43055-1989 | 2010-01-14 |
| 1790806917 | Dorothy E. Roland | Registered Nurse | 269 Oliver St, Newark, NJ 07105-2507 | 2007-04-03 |
| 1821166901 | Nancy Thompson | Registered Nurse | 1160 Raymond Blvd, 5th Floor, Newark, NJ 07102-4168 | 2006-11-30 |
| 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 |
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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.