MS. MAVIS CAMALITA FAULKNOR (NPI# 1265614911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265614911 |
| Entity Type | Individual |
| Full Name | MS. MAVIS CAMALITA FAULKNOR |
| Credential | R.D., RN., CDE., APN |
| Practice Address |
78 Kenmore Ave Newark NJ 07106-1026 |
| Practice Telephone | 9733993393 |
| Mailing Telephone | 9733993393 |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2013-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | 0071705 | IL | Dietary & Nutritional Service Providers |
| N | 133VN1006X |
Dietitian, Registered Specialization: Nutrition, Metabolic |
717052 (ID#) | IL | Dietary & Nutritional Service Providers |
| N | 163WD0400X |
Registered Nurse Specialization: Diabetes Educator |
26NR112011600 | NJ | Nursing Service Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
26NJ00421400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
78 KENMORE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07106-1026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982175535 | Mayurkumar M Rana | Pharmacist | Komishane's Pharmacy, 199 Stuyvesant Ave, Newak, NJ 07106 | 2018-12-07 |
| 1710457346 | Vikki Hatcher | Massage Therapist | 525 Lrvington Avenue Floor 2, Newark, NJ 07106 | 2018-11-27 |
| 1942728258 | Amen Transporation LLC | Transportation Broker | 105 Lenox Street, Newark, NJ 07106 | 2017-09-07 |
| 1073898466 | Rashmi Singh | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2011-10-17 |
| 1760767669 | Shridevi Patel | Pharmacist | 561 Irvington Avenue, Newark, NJ 07106 | 2011-10-12 |
| 1083629067 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 561 Irvington Ave # 579, Newark, NJ 07106 | 2006-07-29 |
| 1184239352 | Chenbin Frederick Liao | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2020-09-14 |
| 1740550763 | Maria Veronica Cruz Camacho | Pharmacist | 561-579 Irvington Ave, Newark, NJ 07106 | 2012-01-06 |
| 1093015000 | Dereck L Dillard | Home Health Aide | 238 Smith St, Newark, NJ 07106 | 2010-10-25 |
| 1245240571 | Raisa Samuylova | Dentist | 5 Manor Dr, Suite #1c, Newark, NJ 07106 | 2006-08-09 |
| Find all providers in zip 07106 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548632110 | Jessica Joel Smallwood | Clinical Nurse Specialist | 4701 Ogletown Stanton Rd, Suite 2400, Newark, DE 19713-2055 | 2015-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798089 | Yardena Mandel | Clinical Nurse Specialist | 88 Reid Ave, Passaic, NJ 07055-3414 | 2019-12-30 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1326411604 | Catherine Aurelie Hoch | Clinical Nurse Specialist | 727 N. Beers St, Holmdel, NJ 07733 | 2015-11-09 |
| 1376914713 | Cristina Spagnoli Ricketti | Clinical Nurse Specialist | 3100 Princeton Pike Ste 4g, Lawrenceville, NJ 08648-2300 | 2015-10-12 |
| 1891126173 | Michelle Rivera De Jesus | Clinical Nurse Specialist | 140 Franklin Turnpike, Vm6, Waldwick, NJ 07643 | 2013-12-11 |
| 1861714644 | Desiree Sokoli | Clinical Nurse Specialist | 12 Stuckler Lane, Wayne, NJ 07470 | 2010-02-22 |
| 1154533511 | Maia Cynthia Greene | Clinical Nurse Specialist | 1 Washington Blvd Ste A, Robbinsville, NJ 08691-3162 | 2007-05-05 |
| 1700894722 | Michele Davide | Clinical Nurse Specialist | 151 Rte 10 East, Suite 105, Succasunna, NJ 07876 | 2006-08-04 |
| 1174063655 | Bethany Harsche | Clinical Nurse Specialist | 1a Regulus Dr, Turnersville, NJ 08012-2427 | 2017-03-02 |
| 1528505294 | Leinina Donnelly | Clinical Nurse Specialist | 321 N Warren St, Trenton, NJ 08618-4741 | 2017-01-19 |
| Find all providers with the same taxonomy | ||||
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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.