SEAN MICHAEL ETHERIDGE (NPI# 1215547716) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215547716 |
| Entity Type | Individual |
| Full Name | SEAN MICHAEL ETHERIDGE |
| Credential | PA-C |
| Practice Address |
1 Robert Wood Johnson Pl New Brunswick NJ 08901-1928 |
| Mailing Address |
38 Academy Cir Oakland NJ 07436-2625 |
| Practice Telephone | 7328283000 |
| Mailing Telephone | 2017835471 |
| Enumeration Date | 2020-08-09 |
| Last Update Date | 2020-08-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA-GTL-20-01325 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 ROBERT WOOD JOHNSON PL |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243375 | Robert Wood Johnson University Hospital, Inc | General Acute Care Hospital | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2005-05-23 |
| 1902405640 | Ellena Curden | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-23 |
| 1659979912 | Wen Liu | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-09 |
| 1255938700 | Dashmeet Singh | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-07 |
| 1801403977 | Sarah Medhat Labib | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-23 |
| 1639783830 | Sara R Owen | Nurse Practitioner | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1265046379 | James Pimentel | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1356952295 | Xinyuan Hu | Pharmacist | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-08-13 |
| 1497372841 | Benjamin Jared Lichtbroun | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-07-01 |
| 1558985622 | Danielle Angelo | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609380302 | Sara Levy | Physician Assistant | Rutgers-rwj Medical Group-emergency Medicine, One Robert Wood Johnson Place, New Brunswick, NJ 08901 | 2017-11-17 |
| 1992833487 | Jacqueline Figueroa | Physician Assistant | Saint Peter's University Hospital, 254 Easton Ave, New Brunswick, NJ 08901 | 2007-02-28 |
| 1033265996 | Orlee Rait | Physician Assistant | 254 Estaon Ave, New Brunswick, NJ 08901-1766 | 2007-01-25 |
| 1902405640 | Ellena Curden | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-10-23 |
| 1265046379 | James Pimentel | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-09-04 |
| 1811529423 | Alina Godovska | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2020-02-11 |
| 1326698663 | Tyler Richard Warner I | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2019-09-18 |
| 1568011781 | Danielle Frask | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2019-09-10 |
| 1891340923 | Robin Annette Bergeron | Physician Assistant | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2019-08-06 |
| 1750934592 | Kristie Varghese | Physician Assistant | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2019-07-22 |
| Find all providers in NEW BRUNSWICK | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.