JACQUES MYRIAMA LUCIEN


Address: 800 Park Ave, Fort Lee, NJ 07024-3771
Phone: 9086596250

JACQUES MYRIAMA LUCIEN (NPI# 1336700806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336700806
Entity Type Individual
Full Name JACQUES MYRIAMA LUCIEN
Practice Address 800 Park Ave
Fort Lee
NJ 07024-3771
Mailing Address Po Box 1084
Fort Lee
NJ 07024-1084
Practice Telephone 9086596250
Mailing Telephone 9086596250
Enumeration Date 2019-06-25
Last Update Date 2019-09-24
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
402687 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 800 PARK AVE
City FORT LEE
State NJ
Zip Code 07024-3771

Providers in the same location

NPI Name Taxonomy Address Enumeration
1932585486 Marisa Dailey Clinic/Center 800 Park Ave, Apt. 1709, Fort Lee, NJ 07024-3768 2015-08-07

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1043828726 You S Jung Pharmacist 1275 15th Street Apt 2e, Fort Lee, NJ 07024 2020-07-17
1205316528 Professional Orthopedic and Sports Therapy of Nj, LLC Physical Therapist 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 2018-08-16
1194210138 Hyunjoo Lee Pharmacy 168 Fletcher Ave, Fort Lee, NJ 07024 2018-06-22
1912423724 Fort Lee Health Supplies Durable Medical Equipment & Medical Supplies 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 2017-08-15
1669997482 Jinseok Woo Acupuncturist 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 2017-08-14
1578083705 Sheran Rey Licensed Vocational Nurse 6308 Hilltop Ct, Fort Lee, NJ 07024 2017-06-20
1558812909 Jian Cui Acupuncturist 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 2016-10-20
1013392919 Yulong Yang Internal Medicine 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 2015-07-22
1235561796 Anthony Lucev Student in an Organized Health Care Education/Training Program 233 Harmon Ave, Fort Lee, NJ 07024 2013-08-06
1811331598 Bridgeview Rehabilitation and Medical Arts Center Physical Medicine & Rehabilitation 454 Main Street 3rd Floor, Fort Lee, NJ 07024 2013-04-24
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1548230568 Yulin Chu Nurse Practitioner 700 24th St, Fort Lee, VA 23801-1716 2006-01-23

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NPI Name Taxonomy Address Enumeration
1821699943 Ernest Akwaboah Nurse Practitioner 87 Burnett Ave, Maplewood, NJ 07040-3094 2020-11-04
1548861081 Temitope Akande Nurse Practitioner 557 Liberty St, Orange, NJ 07050-1275 2020-11-02
1538767587 Ruth Yamoah-cofie Nurse Practitioner 1160 E 7th St, Plainfield, NJ 07062-1906 2020-10-13
1336756170 Jacqueline Michele Arnone Nurse Practitioner 105 Windward Dr, Manahawkin, NJ 08050-3345 2020-09-25
1750997789 Eunice Ramos Nurse Practitioner 300-a Forest Avenue, Paramus, NJ 07652 2020-09-15
1174138952 Darlene Lupo Nurse Practitioner 72 Morris Ave, Neptune, NJ 07753 2020-09-09
1841804960 Claudette L Blake Nurse Practitioner 890 Terrill Rd, Plainfield, NJ 07062-2250 2020-09-04
1982217873 Ifeoma E Iherobiem Nurse Practitioner 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 2020-08-28
1871106088 Firmin Langyin Nurse Practitioner 200 Station Dr Apt 207, Avenel, NJ 07001-1793 2020-08-26
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Competitor

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City FORT LEE
Zip Code 07024

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Dataset Information

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.

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