LYLA H AZZAM (NPI# 1255968368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255968368 |
| Entity Type | Individual |
| Full Name | LYLA H AZZAM |
| Credential | DDS |
| Practice Address |
Zufall Health Center 18 West Blackwell Street Dover NJ 07801 |
| Mailing Address |
1704 Earl Dr Bel Air MD 21015-2035 |
| Practice Telephone | 9733289100 |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| 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 |
ZUFALL HEALTH CENTER 18 WEST BLACKWELL STREET |
| City | DOVER |
| State | NJ |
| Zip Code | 07801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| 1710198163 | Dennis Louis Errichiello | Dentist | 411 Rt. 46 East, Dover, NJ 07801 | 2007-05-25 |
| Find all providers in zip 07801 | ||||
| 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 |
|---|---|---|---|---|
| 1871067629 | Julia Jefka | Student in an Organized Health Care Education/Training Program | 61 Dunns Bridge Ln, Dover, NH 03820-4479 | 2019-01-15 |
| 1639646490 | Heather Lynn Jacoby | Student in an Organized Health Care Education/Training Program | 15 Back River Rd Apt 4, Dover, NH 03820-4428 | 2018-10-30 |
| 1508361437 | Alecia Hagman | Student in an Organized Health Care Education/Training Program | 205 Silver St, Dover, NH 03820-3979 | 2018-03-23 |
| 1477080158 | Tania Lugo | Student in an Organized Health Care Education/Training Program | 14254 N Wooten Rd, Dover, FL 33527-5646 | 2017-05-12 |
| 1871114231 | Mate Kalapos | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2020-04-27 |
| 1467071712 | Carolina Lopez | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2020-04-15 |
| 1417576372 | Hy T Le | Student in an Organized Health Care Education/Training Program | 18 W Blackwell St, Dover, NJ 07801-3841 | 2020-04-10 |
| 1649836925 | Zaineb Shamim | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2019-05-13 |
| 1366905572 | Nadia Shadani | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-13 |
| 1669935748 | Rochelle Michaela Farberov | Student in an Organized Health Care Education/Training Program | 17 S Warren St, Dover, NJ 07801-4506 | 2019-04-07 |
| Find all providers in DOVER | ||||
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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.