MARY-CATHERINE SKOULOS (NPI# 1306468665) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306468665 |
Entity Type | Individual |
Full Name | MARY-CATHERINE SKOULOS |
Credential | MD |
Practice Address |
425 Jack Martin Blvd Brick NJ 08724-7732 |
Mailing Address |
1610 Route 88 Fl 3 Brick NJ 08724-3018 |
Practice Telephone | 7322956549 |
Practice Fax Number | 7322956090 |
Mailing Telephone | 7322956549 |
Mailing Fax Number | 7322956090 |
Enumeration Date | 2020-05-09 |
Last Update Date | 2020-05-09 |
Gender Code | F |
Is Sole Proprietor | N |
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 |
425 JACK MARTIN BLVD |
City | BRICK |
State | NJ |
Zip Code | 08724-7732 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780686741 | Shore Radiation Oncology, LLC. | Radiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2005-06-02 |
1689299042 | Kerrianne Theresa Reuter | Registered Nurse | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-11 |
1679197933 | Pessy Kramer | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-02 |
1730701699 | Suneeta Kumari | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-14 |
1073135323 | Alexander Rawji | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
1184245797 | Aneela Jafri | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-05 |
1285255513 | Sarah Nasir Aziz | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-28 |
1841810462 | Erica Ann Coffman | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-23 |
1770103871 | Jia Hong Chen | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
1073133013 | Mina Aknouk | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
Find all providers in zip 08724 |
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 |
---|---|---|---|---|
1760841233 | Cristina Depalma | Student in an Organized Health Care Education/Training Program | 213 Dwight Pl, Brick, NJ 08724-2077 | 2016-02-12 |
1447638937 | Daniel Diaz | Student in an Organized Health Care Education/Training Program | 758 Paramount Way, Brick, NJ 08724-1161 | 2015-05-15 |
1730701699 | Suneeta Kumari | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-14 |
1073135323 | Alexander Rawji | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
1184245797 | Aneela Jafri | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-05 |
1285255513 | Sarah Nasir Aziz | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-28 |
1841810462 | Erica Ann Coffman | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-23 |
1770103871 | Jia Hong Chen | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
1073133013 | Mina Aknouk | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
1275162422 | Timothy D Ripley Jr. | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-08 |
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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.