MRS. LUCILLE MONICA GREEN (NPI# 1205059268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1205059268 |
Entity Type | Individual |
Full Name | MRS. LUCILLE MONICA GREEN |
Credential | APN MSN |
Practice Address |
111 Lexington Ave Passaic NJ 07055-5246 |
Mailing Address |
24 Oak St Teaneck NJ 07666-3827 |
Practice Telephone | 9734718006 |
Practice Fax Number | 9734711630 |
Mailing Telephone | 2018361339 |
Enumeration Date | 2007-04-10 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
26NC08138300 | NJ | Nursing Service Providers |
Street Address |
111 LEXINGTON AVE |
City | PASSAIC |
State | NJ |
Zip Code | 07055-5246 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831312065 | Pamela Yvette Williams | Psychiatry & Neurology | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2007-04-10 |
1023641180 | Delilah Lopez | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2020-02-18 |
1518516863 | Milagros M Balboa-hart | Social Worker | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2019-09-10 |
1689132938 | Paulo Cesar Tenorio | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2019-03-06 |
1588122915 | Erica Pena | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2019-03-05 |
1831656776 | Lorenza Elena Paskas | Marriage & Family Therapist | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2019-02-27 |
1124431903 | Rosario D Cruz-castillo | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2014-06-09 |
1497192264 | Rosalina Santos | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2013-06-03 |
1508202169 | Alexandra Descalzi | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2013-05-22 |
1750578894 | Tania Jimenez | Counselor | 111 Lexington Ave, Passaic, NJ 07055-5246 | 2007-10-03 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
Find all providers in zip 07055 |
Taxonomy Code | 163WP0809X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Psych/Mental Health, Adult |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
1093087249 | Lisa M Ewan | Registered Nurse | 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 | 2012-02-03 |
1841429255 | Shana Elizabeth Careatti | Registered Nurse | 2500 Mcclellan Ave, Suite 300, Pennsauken, NJ 08109-4613 | 2009-07-07 |
1891921300 | Barbara Jane Taylor | Registered Nurse | 40 Saint Andrews Ct, Westampton, NJ 08060-4721 | 2009-06-10 |
1164606869 | Susan Lee Allender | Registered Nurse | 385 Tremont Ave # Ward12b, East Orange, NJ 07018-1023 | 2007-12-18 |
1225221781 | Kathleen Joan Mencher | Registered Nurse | 464 Academy St, South Orange, NJ 07079-1839 | 2007-08-19 |
1801005491 | Carolyn Pierce Buckelew | Registered Nurse | 79 Hilliard Rd, Old Bridge, NJ 08857-1535 | 2007-05-21 |
1295958296 | Susan Gragen Fingerhut | Registered Nurse | 2250 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-2051 | 2007-04-10 |
1912021197 | Carmen M. Rosado | Registered Nurse | 100 1st St Ste 203, Hackensack, NJ 07601-2154 | 2007-03-16 |
1467523100 | Maria Simone | Registered Nurse | 2201 Mountain Ave, Scotch Plains, NJ 07076-1303 | 2006-11-13 |
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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.