HEATHER BRYAN (NPI# 1376964288) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376964288 |
| Entity Type | Individual |
| Full Name | HEATHER BRYAN |
| Practice Address |
663 Palisade Ave Cliffside Park NJ 07010-3012 |
| Mailing Address |
111 Galway Pl Teaneck NJ 07666-3640 |
| Practice Telephone | 2019439100 |
| Practice Fax Number | 2019437308 |
| Mailing Telephone | 2018339500 |
| Mailing Fax Number | 2018620095 |
| Enumeration Date | 2013-12-18 |
| Last Update Date | 2013-12-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00320300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922475516 | Heather Bryan | Physical Therapy Assistant | 7016 S Shore Dr S, South Pasadena, FL 33707-4605 | 2015-08-31 |
| 1245860279 | Heather Bryan | Massage Therapist | 820 Ocean Beach Hwy Ste 116, Longview, WA 98632-4081 | 2020-01-17 |
| 1811373228 | Heather Bryan | Pharmacist | 1740 Nicholasville Rd, Lexington, KY 40503-1431 | 2015-08-07 |
| 1366746794 | Heather Mctaggart Bryan | Counselor | 8626 Lee Hwy, Fairfax, VA 22031-2135 | 2010-12-28 |
| 1063662500 | Heather Kay Bryan | Massage Therapist | 19009 33rd Ave W, Suite 205, Lynnwood, WA 98036-4717 | 2008-09-21 |
| 1689823023 | Heather Kristin Bryan | Counselor | 1704 Highway 69 West, Trumann, AR 72472-2029 | 2008-09-10 |
| 1164503199 | Heather K Bryan | Registered Nurse | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-10-18 |
| Street Address |
663 PALISADE AVE |
| City | CLIFFSIDE PARK |
| State | NJ |
| Zip Code | 07010-3012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619954211 | Yair Litvin | Internal Medicine | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2005-12-27 |
| 1578113031 | Imed Surgical of New Jersey,pc | Surgery | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2019-09-17 |
| 1689130254 | Jennifer Schiebel | Nurse Practitioner | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2019-02-19 |
| 1548739204 | Eric Galen Le Clair | Physician Assistant | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2018-11-24 |
| 1134674377 | Michelle Tassinari | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2016-08-17 |
| 1700331949 | Connor Trygar | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2016-08-17 |
| 1902279235 | Centers for Integrated Pain Treatment, PC | Specialist | 663 Palisade Ave, Suite 205, Cliffside Park, NJ 07010-3012 | 2015-11-09 |
| 1699146449 | Surgery Center of Cliffside, LLC | Clinic/Center | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2015-10-19 |
| 1659754588 | Donna Klingler | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2015-07-09 |
| 1639559479 | Jesse Markowitz | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2015-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841715026 | Clifford Bachiman | Physical Therapist | 550 Kearney Ave, Cliffside Park, NJ 07010 | 2017-08-08 |
| 1699152181 | Rai Yeon Kang | Podiatrist | 663 Palisade Ave Ste 302, Cliffside Park, NJ 07010 | 2015-05-04 |
| 1699175372 | Hoa Chu-le | Pharmacist | 729 Anderson Ave, Cliffside Pk, NJ 07010 | 2014-08-29 |
| 1780923094 | Cliffside Park Public Schools | Local Education Agency (LEA) | School #3 Cst - 397 Palisade Avenue, Cliffside Park, NJ 07010 | 2013-02-06 |
| 1821340399 | Jonathan Mickulik | Physical Therapist | 590 Anderson Ave., Cliffside Park, NJ 07010 | 2012-10-09 |
| 1730455056 | Larissa Seymour | Psychologist | 100 Winston Dr, 7 Gs, Cliffside Park, NJ 07010 | 2012-03-30 |
| 1215174941 | Kyu-han Kim | Family Medicine | 1 Towne Centre Drive, Cliffisde Park, NJ 07010 | 2009-01-16 |
| 1982856357 | Ds Dental Arts | Dentist | 634 Anderson Avenue, Cliffside Park, NJ 07010 | 2008-10-16 |
| 1902060619 | Jennifer Gyi | Pharmacist | 663 Palisades Ave, Suite 205, Cliffside Park, NJ 07010 | 2008-07-11 |
| 1962696609 | Alexander I Karapetyan | Dentist | 550 Anderson Ave, Cliffside Park, NJ 07010 | 2007-09-05 |
| Find all providers in zip 07010 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134674377 | Michelle Tassinari | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2016-08-17 |
| 1700331949 | Connor Trygar | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2016-08-17 |
| 1659754588 | Donna Klingler | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2015-07-09 |
| 1639559479 | Jesse Markowitz | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2015-06-07 |
| 1508290677 | Christina Hults | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2013-08-26 |
| 1700139540 | Jeanette M Gerould | Physician Assistant | 663 Palisade Ave, Cliffside Park, NJ 07010-3012 | 2012-10-17 |
| 1811268527 | Ashleigh L Clark | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2012-01-26 |
| 1700180106 | Kaitlyn E Booth | Physician Assistant | 663 Palisade Ave, Ste 302, Cliffside Park, NJ 07010-3012 | 2010-12-29 |
| 1174754725 | Patrick J Higgins | Physician Assistant | 663 Palisade Ave, Suite 302, Cliffside Park, NJ 07010-3012 | 2009-07-30 |
| 1164667937 | Sharon F Rubin | Physician Assistant | 663 Palisade Ave, Suite 302, Cliffside Park, NJ 07010-3012 | 2008-12-09 |
| Find all providers in CLIFFSIDE PARK | ||||
| City | CLIFFSIDE PARK |
| Zip Code | 07010 |
Please comment or provide details below to improve the information on HEATHER BRYAN.
| 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.