JENNIFER WILKEN (NPI# 1376587519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376587519 |
| Entity Type | Individual |
| Full Name | JENNIFER WILKEN |
| Credential | MD |
| Practice Address |
156 Route 59 Suite C6 Suffern NY 10901-5005 |
| Mailing Address |
535 E Crescent Ave C/o Histopathology Services, LLC Ramsey NJ 07446-2922 |
| Practice Telephone | 8453694200 |
| Practice Fax Number | 2016617297 |
| Mailing Telephone | 2016617280 |
| Mailing Fax Number | 2016617297 |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2013-04-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
213470 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02223352 | 05 |
| Street Address |
156 ROUTE 59 SUITE C6 |
| City | SUFFERN |
| State | NY |
| Zip Code | 10901-5005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053355248 | Orange Pathology Associates, PC | Pathology | 156 Route 59, Suite B4, Suffern, NY 10901-5005 | 2006-06-16 |
| 1992221873 | Emilie Mc Ilroy | Dietitian, Registered | 156 Route 59, Suffern, NY 10901-5005 | 2017-08-22 |
| 1295166973 | Tarek M Mousa Physician PC | Specialist | 156 Route 59, Unit B2, Suffern, NY 10901-5005 | 2013-12-06 |
| 1033541552 | Ident Dental At Suffern | Dentist | 156 Route 59, Suite A1, Suffern, NY 10901-5005 | 2013-08-07 |
| 1427498393 | Tarek M Mousa Md PC | Internal Medicine | 156 Route 59, Unit B2, Suffern, NY 10901-5005 | 2013-06-25 |
| 1215256516 | Jaclyn M. Heuer | Nurse Practitioner | 156 Route 59, Suffern, NY 10901-5005 | 2010-05-26 |
| 1235451642 | Edsel Roy Tarife | Dentist | 156 Route 59, Suite# A1, Suffern, NY 10901-5005 | 2010-02-26 |
| 1952639015 | Laura De Andrade | Nurse Practitioner | 156 Route 59, A2, Suffern, NY 10901-5005 | 2009-12-01 |
| 1932339967 | Innovative Pathology Services LLC | Clinical Medical Laboratory | 156 Route 59, Suffern, NY 10901-3627 | 2009-07-24 |
| 1205063294 | Histopathology Services LLC | Clinical Medical Laboratory | 156 Route 59, Suite B4, Suffern, NY 10901-5005 | 2009-06-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740895309 | Constance Marie Princiotto | Registered Nurse | J&d Ultracare, 15 Suffern Pl, Suffern, NY 10901 | 2020-09-10 |
| 1376101790 | Tenika Filomena Walters | Licensed Practical Nurse | 15 Suffen Place, Suffen, NY 10901 | 2019-05-31 |
| 1922563261 | Matthew Abel | Dietitian, Registered | 156 Ny-59, A2, Suffern, NY 10901 | 2019-01-31 |
| 1609349422 | Yona Newmark | Behavioral Analyst | 84 Route 59 Suite 102, Suffern, NY 10901 | 2019-01-03 |
| 1235606005 | William M Mazariego | Specialist/Technologist | 5 Tallman Pl, Suffern, NY 10901 | 2018-10-30 |
| 1396237228 | Stephanie N Freer | Registered Nurse | 15 Suffern Pl., Suffern, NY 10901 | 2018-06-06 |
| 1588102669 | Lisa Arcuri | Registered Nurse | 15 Suffern Place Ste A, Suffern, NY 10901 | 2017-02-08 |
| 1801342787 | Maria Castro-cancel | Social Worker | 58 Campbell Avenue, Airmont, NY 10901 | 2016-08-30 |
| 1811341530 | Simone Raven Pringle | Licensed Practical Nurse | 15 Suffern Place, Suite A, Suffern, NY 10901 | 2016-04-19 |
| 1871998666 | Simi Samuel | Specialist | 13 Hillside Ct, Suffern, NY 10901 | 2014-10-23 |
| Find all providers in zip 10901 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992936942 | Jeffrey G Brown | Pathology | 156 Route 59, Suite C6, C/o Histopathology Services, LLC, Suffern, NY 10901 | 2009-08-06 |
| 1295814838 | Deborah J Carroll | Pathology | 2 Executive Blvd Ste 102, Suffern, NY 10901-8217 | 2006-11-03 |
| 1053355248 | Orange Pathology Associates, PC | Pathology | 156 Route 59, Suite B4, Suffern, NY 10901-5005 | 2006-06-16 |
| 1689665978 | Roberta Gail Rubin | Pathology | 4 Executive Blvd, Suffern, NY 10901-4173 | 2005-11-04 |
| 1407173941 | Rachel Mary Hudacko | Pathology | 255 Lafayette Ave, Good Samaritan Hospital, Suffern, NY 10901-4812 | 2010-04-23 |
| 1790729960 | David Rubin | Pathology | 255 Lafayette Ave, Good Samaritan Hospital, Suffern, NY 10901-4812 | 2006-06-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356989388 | Prime Pathology Laboratory, LLC | Pathology | 196 Meeting House Ln, Southampton, NY 11968-5062 | 2019-12-20 |
| 1275006025 | Sterling Physicians | Pathology | 15408 Northern Blvd Ste 2k, Flushing, NY 11354-5042 | 2019-01-04 |
| 1033605696 | Riddhish Tushar Sheth | Pathology | 4370 Kissena Blvd Apt 12a, Flushing, NY 11355 | 2018-07-07 |
| 1740783810 | Rgld Pathology PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2018-03-14 |
| 1346755410 | Sunstone Pathology Services PC | Pathology | 1010 Adams Ave, Franklin Square, NY 11010-2248 | 2017-12-11 |
| 1316494578 | Jane Date Hon | Pathology | 7528 167th St, Flushing, NY 11366-1327 | 2016-09-06 |
| 1518340876 | Rachana Choksi | Pathology | Nichols Road Department of Pathology Level 2-749, Stony Brook, NY 11794-7025 | 2015-07-06 |
| 1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
| 1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
| 1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
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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.