MARILYN SOBERANO IV (NPI# 1215334347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215334347 |
| Entity Type | Individual |
| Full Name | MARILYN SOBERANO IV |
| Credential | HEMODIALYSIS RN. |
| Practice Address |
2105 Barclay Ct Randolph NJ 07869-1270 |
| Mailing Address |
Po Box 224 Dover NJ 07802-0224 |
| Practice Telephone | 9739787351 |
| Practice Fax Number | 9739271873 |
| Mailing Telephone | 9739787351 |
| Mailing Fax Number | 9739271873 |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0500X |
Registered Nurse Specialization: Hemodialysis |
26NO10205000 | NJ | Nursing Service Providers |
| Street Address |
2105 BARCLAY CT |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-1270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 163WH0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Hemodialysis |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033386388 | Heidi F. Jimenez | Registered Nurse | 7 Quaker St, Edison, NJ 08820-1614 | 2008-05-14 |
| 1639226558 | Norma Jackson Feliciano | Registered Nurse | 888 E 24th St, Paterson, NJ 07513-1424 | 2007-01-04 |
| 1093873069 | Luy Emma Haw | Registered Nurse | 34 Averell Dr, Morris Plains, NJ 07950-1959 | 2006-12-04 |
| 1245708676 | Barbara Wadzanayi Hama | Registered Nurse | 1139 Spruce Dr, Mountainside, NJ 07092-2221 | 2018-11-03 |
| 1851825400 | Nathanael Elijah Smith | Registered Nurse | 2 Capital Way, Suite 456, Pennington, NJ 08534-2521 | 2017-04-19 |
Please comment or provide details below to improve the information on MARILYN SOBERANO IV.
| 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.