EILEEN SARAH HEANUE-BOGUE (NPI# 1114355195) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114355195 |
Entity Type | Individual |
Full Name | EILEEN SARAH HEANUE-BOGUE |
Credential | ANP |
Practice Address |
125 U.S. Route 46 Budd Lake NJ 07828 |
Mailing Address |
125 Route 46 Budd Lake NJ 07828 |
Practice Telephone | 9736911111 |
Practice Fax Number | 9736911198 |
Mailing Telephone | 9736911111 |
Mailing Fax Number | 9736911198 |
Enumeration Date | 2013-10-29 |
Last Update Date | 2013-10-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303822-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00451400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
125 U.S. ROUTE 46 |
City | BUDD LAKE |
State | NJ |
Zip Code | 07828 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700191673 | James R. Smith, M.d., P.C. | Family Medicine | 98 Rt 46 Village Green Annex, Budd Lake, NJ 07828 | 2010-08-16 |
1134442106 | Developmental Center for Children and Families | Occupational Therapist | 295 Route 46 East, Budd Lake, NJ 07828 | 2010-03-05 |
1700036498 | Kenneth Wayne Culver | Pediatrics | 2 Village Grn Apt A, Budd Lake, NJ 07828 | 2008-09-30 |
1275704025 | Mount Olive Township | Public Health or Welfare | 204 Flandersdrakestown Rd, Budd Lake, NJ 07828 | 2008-03-20 |
1730363128 | Lakeview Medical Associates, P.C. | Family Medicine | 125 U.S. Highway 46, Budd Lake, NJ 07828 | 2007-12-21 |
1851518708 | Dominick Volpe | Occupational Therapist | 20 Third Street, Budd Lake, NJ 07828 | 2007-04-20 |
1063549319 | Linda Wong | Physical Therapist | 141 Route 46e, Kessler Rehabilitation Center, Budd Lake, NJ 07828 | 2007-02-27 |
1447300231 | Jerome Steven Cohen | Dentist | 100 Route 46, Village Green Shopping Center, Budd Lake, NJ 07828 | 2007-01-12 |
1548326143 | Josette O'rourke | Social Worker | 100 Route 46 West, Village Green, Budd Lake, NJ 07828 | 2006-12-28 |
1528120722 | Rebecca Claire Jordan | Physical Therapist | Kessler 141 Route 46 East, Budd Lake, NJ 07828 | 2006-12-14 |
Find all providers in zip 07828 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
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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.