MRS. PHYLLIS MCKIERNAN (NPI# 1194939652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194939652 |
| Entity Type | Individual |
| Full Name | MRS. PHYLLIS MCKIERNAN |
| Credential | RN, APN-C |
| Practice Address |
20 Prospect Ave Ste 400 Hackensack NJ 07601-1941 |
| Mailing Address |
14 Manning Rd Paramus NJ 07652-1800 |
| Practice Telephone | 2019965832 |
| Mailing Telephone | 2012516474 |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00034600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
20 PROSPECT AVE STE 400 |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1941 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1821518101 | Carol Jacqueline Rios | Nurse Practitioner | 92 2nd St Ste 420, Hackensack, NJ 07601-2191 | 2017-06-27 |
| 1659793875 | Michele Boonstra | Nurse Practitioner | 92 Second St, Hackensack, NJ 07601 | 2014-01-07 |
| 1811324247 | Lillian Rose Tahan | Nurse Practitioner | 241 Moore St Ste 101, Hackensack, NJ 07601-7533 | 2013-09-30 |
| 1598015687 | Samantha Michelle Weber | Nurse Practitioner | 92 2nd St Ste 340, Hackensack, NJ 07601-2191 | 2012-09-15 |
| 1700926201 | Elizbeth Maria Engel-riggi | Nurse Practitioner | 90 Prospect Ave Apt 3f, Hackensack, NJ 07601-1918 | 2007-02-07 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1265076152 | Samantha Tritt | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2019-11-04 |
| 1386293413 | Sana Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2019-09-11 |
| 1164076840 | Lori A Cappello | Nurse Practitioner | 92 2nd St, Hackensack, NJ 07601-2191 | 2019-07-30 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on MRS. PHYLLIS MCKIERNAN.
| 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.