DR. JASON DAVID LOFTERS (NPI# 1164084117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164084117 |
| Entity Type | Individual |
| Full Name | DR. JASON DAVID LOFTERS |
| Credential | MB,BS |
| Practice Address |
350 Engle St Dept Of Englewood NJ 07631-1808 |
| Practice Telephone | 2018943143 |
| Mailing Telephone | 2018943143 |
| Enumeration Date | 2019-06-30 |
| Last Update Date | 2019-06-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
350 ENGLE ST DEPT OF |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-1808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245524933 | Barry Ettinger | Anesthesiology | 350 Engle St Dept Of, Englewood, NJ 07631 | 2011-05-31 |
| 1851900955 | Ahmad Alqam | Student in an Organized Health Care Education/Training Program | 350 Engle St Dept Of, Englewood, NJ 07631-1808 | 2020-07-24 |
| 1134744279 | Lena Makartian | Student in an Organized Health Care Education/Training Program | 350 Engle St Dept Of, Englewood, NJ 07631-1808 | 2020-06-15 |
| 1205481850 | Ro-kaye Alethea Simmonds | Student in an Organized Health Care Education/Training Program | 350 Engle St Dept Of, Englewood, NJ 07631-1808 | 2019-08-08 |
| 1720630387 | Musaab Moh Nour Abdelrahim Alfaki | Student in an Organized Health Care Education/Training Program | 350 Engle St Dept Of, Englewood, NJ 07631-1898 | 2019-07-14 |
| 1720640527 | Lakshmi Kameswari Sravanthi Ayyagari | Student in an Organized Health Care Education/Training Program | 350 Engle St Dept Of, Englewood, NJ 07631-1808 | 2019-07-01 |
| 1184285058 | Nia Flemming | Student in an Organized Health Care Education/Training Program | 350 Engle St Dept Of, Englewood, NJ 07631-1808 | 2019-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1700413168 | Daniella Jo Barber | Student in an Organized Health Care Education/Training Program | 13 Hedgerow Dr, Englewood, NJ 07631-5037 | 2020-03-25 |
| 1821623364 | Charmain Watts | Student in an Organized Health Care Education/Training Program | 95 W Palisade Ave, Englewood, NJ 07631-2634 | 2020-03-05 |
| 1437797578 | Alexa B Alter | Student in an Organized Health Care Education/Training Program | 163 E Linden Ave, Englewood, NJ 07631-3621 | 2019-12-19 |
| 1083261465 | Alexander Schulick | Student in an Organized Health Care Education/Training Program | 2250 Cherry Hills Farm Dr, Englewood, CO 80113-7138 | 2019-08-21 |
| 1477119378 | Sukaina Zaki Eashour | Student in an Organized Health Care Education/Training Program | 350 Engle St Rm 4833, Englewood, NJ 07631-1898 | 2019-05-15 |
| 1497215958 | David T Rogers | Student in an Organized Health Care Education/Training Program | 75 Engle St Fl 2, Englewood, NJ 07631-2904 | 2019-03-21 |
| 1114407343 | Lucy Ann Introcaso | Student in an Organized Health Care Education/Training Program | 740 E Jefferson Ave Apt 206, Englewood, CO 80113-3842 | 2018-08-16 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| Find all providers in ENGLEWOOD | ||||
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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.