MR. FAHEEM MUMIN NURUDDIN (NPI# 1396130712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396130712 |
Entity Type | Individual |
Full Name | MR. FAHEEM MUMIN NURUDDIN |
Practice Address |
158 South Harrison Street #3g East Orange NJ 07018 |
Practice Telephone | 9732806261 |
Enumeration Date | 2015-04-02 |
Last Update Date | 2015-04-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TA0400X |
Psychologist Specialization: Addiction (Substance Use Disorder) |
NJ | Behavioral Health & Social Service Providers | |
N | 103TC1900X |
Psychologist Specialization: Counseling |
NJ | Behavioral Health & Social Service Providers | |
N | 103TP2701X |
Psychologist Specialization: Group Psychotherapy |
NJ | Behavioral Health & Social Service Providers |
Street Address |
158 SOUTH HARRISON STREET #3G |
City | EAST ORANGE |
State | NJ |
Zip Code | 07018 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
Find all providers in zip 07018 |
Taxonomy Code | 103TA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629221239 | Kwenyan Professional Health Services, LLC | Psychologist | 60 Evergreen Pl, Suite 500, East Orange, NJ 07018-2106 | 2008-10-28 |
1124130513 | Lynnette Johnson | Psychologist | 385 Tremont Ave, 116f, East Orange, NJ 07018-1023 | 2006-08-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962905711 | Denise M White | Psychologist | 30 Halstead St, Newark, NJ 07106-1102 | 2018-03-16 |
1598202863 | Cara Church, Phd LLC | Psychologist | 255 Shore Dr, #7, Highlands, NJ 07732-1568 | 2017-01-25 |
1508289224 | Bergen Psychiatric Associates | Psychologist | 294 State St Ste 2, Hackensack, NJ 07601-5515 | 2014-01-31 |
1720329576 | Jediedjah Moshe Rodrigues Pereira | Psychologist | 1212 Todd Ct, Lakewood, NJ 08701-2256 | 2013-03-04 |
1902166804 | Tracy Wrocklage | Psychologist | 500 Main St Bldg 2, Lanoka Harbor, NJ 08734-2228 | 2012-05-24 |
1245430545 | James William Langenbucher | Psychologist | 607 Allison Rd, Piscataway, NJ 08854-8001 | 2007-07-24 |
1255479077 | Henry Benvenisti | Psychologist | 48 N Middletown Road, Montvale, NJ 07645 | 2007-02-02 |
1750435129 | Extracare Health Services | Psychologist | 141 State Route 34, Matawan, NJ 07747-2187 | 2007-01-23 |
1598781973 | Bloomfield Health Pavilion LLC | Psychologist | 86 Bloomfield Ave, 1st Floor & Basement, Newark, NJ 07104-1905 | 2006-07-15 |
1366062101 | Miguel Mateo | Psychologist | 687 Frelinghuysen Ave, Newark, NJ 07114-1349 | 2020-04-22 |
Find all providers with the same taxonomy |
City | EAST ORANGE |
Zip Code | 07018 |
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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.