DR. KATHLEEN ANNE FAGAN (NPI# 1386974517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386974517 |
| Entity Type | Individual |
| Full Name | DR. KATHLEEN ANNE FAGAN |
| Credential | DNSC, RN, BC, APN |
| Practice Address |
241 Moore St Hackensack NJ 07601-7533 |
| Mailing Address |
188 Deerfield Ter Mahwah NJ 07430-2853 |
| Practice Telephone | 2013422478 |
| Mailing Telephone | 2106947920 |
| Mailing Fax Number | 2019346691 |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2010-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
26NN09492700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
26NN09492700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225431232 | Kathleen Fagan | Occupational Therapist | 54 Bay State Ave, Somerville, MA 02144-2134 | 2014-10-03 |
| 1881041572 | Kathleen Ann Fagan | Registered Nurse | 7500 Auburn Rd, Concord Township, OH 44077-9602 | 2016-05-23 |
| 1528005543 | Kathleen M Fagan | Preventive Medicine | 11100 Euclid Avenue, Cleveland, OH 44106 | 2006-05-31 |
| Street Address |
241 MOORE ST |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-7533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972757755 | Bergen Volunteer Medical Initiative | Clinic/Center | 241 Moore St, Hackensack, NJ 07601-7533 | 2008-11-06 |
| 1144556275 | Carl Wierum | Internal Medicine | 241 Moore St, Hackensack, NJ 07601-7533 | 2009-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518219526 | Juanita D Baca Barreto | Nurse Practitioner | 83 Lodi St., Hackensack, NJ 07601 | 2012-10-15 |
| 1831642024 | Jessica M Androsiglio | Nurse Practitioner | 20 Prospect Ave, Hackensack, NJ 07601-1997 | 2016-07-25 |
| 1851587117 | Lisania Iris Milli | Nurse Practitioner | 20 Prospect Ave, Suite 703, Hackensack, NJ 07601-1997 | 2007-09-20 |
| 1699988501 | Melissa A. Buddha | Nurse Practitioner | 58 Summit Ave, Hackensack, NJ 07601-1263 | 2007-05-07 |
| 1104867399 | Alexis A Fitzsimmons | Nurse Practitioner | 20 Prospect Ave, Breast Center, Hackensack, NJ 07601-1997 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104648 | Veronica P Garces | Nurse Practitioner | 716 Broad St Ste 2a, Clifton, NJ 07013-1645 | 2020-05-02 |
| 1497394878 | Michele Anne Strykowsky | Nurse Practitioner | 227 Laurel Rd, Ste 300, Voorhees, NJ 08043-8303 | 2020-01-02 |
| 1528601564 | Whitney Grimm | Nurse Practitioner | 1200 Clinton St Apt 520, Hoboken, NJ 07030-3293 | 2019-10-22 |
| 1932759255 | Stacy Marie Karle | Nurse Practitioner | 401 Young Ave Ste 146b, Moorestown, NJ 08057-3130 | 2019-09-18 |
| 1609424043 | Alicia Kevette Rogers | Nurse Practitioner | 128 Rehill Ave Ste 1100, Somerville, NJ 08876-2519 | 2019-08-28 |
| 1477018273 | Yvonne Elizabeth Brown | Nurse Practitioner | 59 Main St Ste 207, West Orange, NJ 07052-5333 | 2019-02-05 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1861977043 | Vaidehi Patel | Nurse Practitioner | 101 Lawrence Rd, Parsippany, NJ 07054-3146 | 2018-10-03 |
| 1982184727 | Julie Black | Nurse Practitioner | 8008 Route 130 Ste 305, Delran, NJ 08075-1869 | 2018-08-21 |
| 1730669953 | Stephanie Ellen Kintzing | Nurse Practitioner | 841 Franklin Ave Ste 5, Franklin Lakes, NJ 07417-1418 | 2018-08-16 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. KATHLEEN ANNE FAGAN.
| 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.