SHELLALYN ITO-LUCAS (NPI# 1295214013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295214013 |
| Entity Type | Individual |
| Full Name | SHELLALYN ITO-LUCAS |
| Practice Address |
400 W Blackwell St Dover NJ 07801-2525 |
| Mailing Address |
33 Flintlock Ter Rockaway NJ 07866-4831 |
| Practice Telephone | 9739893085 |
| Practice Fax Number | 9739893106 |
| Mailing Telephone | 9734521892 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2018-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NR11878000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 W BLACKWELL ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033106968 | Saint Clare's Hospital Inc. | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2005-10-05 |
| 1871114231 | Mate Kalapos | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2020-04-27 |
| 1376162636 | Jenna T Devita | Registered Nurse | 400 W Blackwell St, Dover, NJ 07801-2525 | 2020-04-15 |
| 1649836925 | Zaineb Shamim | Student in an Organized Health Care Education/Training Program | 400 W Blackwell St, Dover, NJ 07801-2525 | 2019-05-13 |
| 1497297063 | Aleksandra Dontsova | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2016-11-14 |
| 1245782879 | Maria Armie Ladores Pacheco-te | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2016-10-31 |
| 1770948846 | Prime Healthcare Services - Saint Clare's LLC | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-12-16 |
| 1275918609 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-07-28 |
| 1124407903 | Prime Healthcare Services - Saint Clare's LLC | Skilled Nursing Facility | 400 W Blackwell St, Dover, NJ 07801-2525 | 2015-05-26 |
| 1477809507 | Integrated Hospital Medicine | General Acute Care Hospital | 400 W Blackwell St, Dover, NJ 07801-2525 | 2012-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 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 |
| Find all providers in zip 07801 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497916084 | Linda Mcintosh Liptok | Nurse Practitioner | 1576 N Crater Ave, Dover, OH 44622-9504 | 2008-06-17 |
| 1922508902 | Alissa Gregersen | Nurse Practitioner | 640 S State St, Dover, DE 19901-3530 | 2018-02-16 |
| 1497297063 | Aleksandra Dontsova | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2016-11-14 |
| 1245782879 | Maria Armie Ladores Pacheco-te | Nurse Practitioner | 400 W Blackwell St, Dover, NJ 07801-2525 | 2016-10-31 |
| 1538418918 | Tiffany Rhoda Tullis | Nurse Practitioner | 640 South State Street, Dover, DE 19901 | 2012-08-31 |
| 1134302235 | Tricia L Delnay | Nurse Practitioner | 540 S Governors Ave Ste 201, Dover, DE 19904-3530 | 2007-12-11 |
| 1114109808 | Mary E Campbell | Nurse Practitioner | 789 Central Ave, Dover, NH 03820-2526 | 2007-12-04 |
| 1568415909 | Karen J Russell | Nurse Practitioner | 1100 Forrest Ave, Dover, DE 19904-3309 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
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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.