JACQUELYN CHRISTINE ROSS (NPI# 1376003137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376003137 |
| Entity Type | Individual |
| Full Name | JACQUELYN CHRISTINE ROSS |
| Practice Address |
107 Berlin Rd Cherry Hill NJ 08034-3526 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 8563713949 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2020-10-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00908900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PENDING | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1113 Hospital Dr, Willingboro, NJ 080461103 | 8563751288 | 8563752325 |
| 750 Route 73 S Bldg 4, Marlton, NJ 080534141 | 8563751288 | 8563752325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326252925 | Jacquelyn Kay Ross | Physical Therapist | 611 1st Ave, Chippewa Falls, WI 54729-1242 | 2007-05-10 |
| Street Address |
107 BERLIN RD |
| City | CHERRY HILL |
| State | NJ |
| Zip Code | 08034-3526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682278 | Ira David Horowitz | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2005-07-08 |
| 1003214842 | Brian Hugh Shannon | Nurse Practitioner | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2014-12-10 |
| 1790127934 | Fredric E Noller | Physician Assistant | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2013-07-29 |
| 1770920720 | David Baumgarten | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2013-05-31 |
| 1184918351 | Julie Ninja Polisiakiewicz | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2011-06-06 |
| 1285875633 | Aaron David Crookshank | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2009-03-16 |
| 1497946792 | Michael Joseph Driscoll V | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2007-08-05 |
| 1053519702 | Antonio Quiachon Velasco Jr. | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2007-07-04 |
| 1093734022 | Pulmonary and Sleep Associates of South Jersey, LLC | Internal Medicine | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2006-07-19 |
| 1629018825 | Srirekha Dayanidhi | Physician Assistant | 107 Berlin Rd, Cherry Hill, NJ 08034-3526 | 2006-06-07 |
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|---|---|---|---|---|
| 1821606054 | Glickman Psychological Services, LLC | Psychologist | 80 Barclay Center, Suite 4, Cherry Hill, NJ 08034 | 2020-07-14 |
| 1215455225 | Arc of Camden County Millhurst Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 141 Hayes Mill Road, Apt 218, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1144748120 | Arc of Camden County Chanticleer Drive Supported Living | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 712 Chanticleer Drive, Cherry Hill, NJ 08034 | 2017-08-30 |
| 1124558689 | 1 Choice Home Health Care, LLC | Home Health | 1409 E. Highway 70, Barclay Pavilion, Suite 207w, Cherry Hill, NJ 08034 | 2017-06-18 |
| 1205362621 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 405 Wayland Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1598291940 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19 Brookdale Dr, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1861928285 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 302 Portsmouth Rd, Cherry Hill, NJ 08034 | 2017-05-04 |
| 1265967954 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8 Farmhouse Ln, Maple Shade, NJ 08034 | 2017-05-01 |
| 1023543709 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 407 Cranford Rd, Cherry Hill, NJ 08034 | 2017-05-01 |
| 1588199269 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Colgate Drive, Cherry Hill, NJ 08034 | 2017-05-01 |
| Find all providers in zip 08034 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760014294 | Joseph William Lever | Nurse Practitioner | 27 Covered Bridge Rd, Cherry Hill, NJ 08034-2945 | 2020-02-12 |
| 1982241378 | Kristin Dick | Nurse Practitioner | 63 Kresson Rd Ste 104, Cherry Hill, NJ 08034-3200 | 2019-12-04 |
| 1770067514 | Kristina Sacco | Nurse Practitioner | 2201 Chapel Ave W, Cherry Hill, NJ 08002-2048 | 2018-09-18 |
| 1316482771 | Tonya Michelle Hughley | Nurse Practitioner | 1 Brace Rd Ste C1, Cherry Hill, NJ 08034-2600 | 2016-12-21 |
| 1285695023 | Joanne Luczak-marzo | Nurse Practitioner | 1 Brace Rd Ste C, Cherry Hill, NJ 08034-2600 | 2006-03-31 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | CHERRY HILL |
| Zip Code | 08034 |
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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.