ANNETTE ERIC D'SOUZA (NPI# 1407390735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407390735 |
Entity Type | Individual |
Full Name | ANNETTE ERIC D'SOUZA |
Credential | APN |
Practice Address |
500 River Avenue Unit 140 Lakewood NJ 08701 |
Mailing Address |
500 River Ave Ste 140 Lakewood NJ 08701-4743 |
Practice Telephone | 7323637200 |
Practice Fax Number | 7323638183 |
Mailing Telephone | 7323637200 |
Mailing Fax Number | 7323638183 |
Enumeration Date | 2016-12-06 |
Last Update Date | 2016-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00683300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
500 RIVER AVENUE UNIT 140 |
City | LAKEWOOD |
State | NJ |
Zip Code | 08701 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
Find all providers in zip 08701 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245767466 | Karen Lee Keller | Nurse Practitioner | 5903 Hayter Ave, Lakewood, CA 90712-1047 | 2017-05-18 |
1194177188 | Marilyn Rosca | Nurse Practitioner | 12234 Renville St, Lakewood, CA 90715-1605 | 2016-07-01 |
1073903282 | Housecalls of The Falls | Nurse Practitioner | 15526 Hilliard Rd, Lakewood, OH 44107-3813 | 2015-01-26 |
1528081957 | Lindsey Ekland | Nurse Practitioner | 7424 Bridgeport Way W Ste 301, Lakewood, WA 98499-8135 | 2006-07-26 |
1366468811 | Sandra Jorgensen | Nurse Practitioner | 16313 Lake Ave, Lakewood, OH 44107-1250 | 2006-07-15 |
1548879844 | Rowena Houston | Nurse Practitioner | 3300 E South St Ste 206, Lakewood, CA 90805-4590 | 2020-07-23 |
1841822343 | Michelle Lynn Juckett | Nurse Practitioner | 685 River Ave, Lakewood, NJ 08701-5288 | 2020-02-12 |
1144881384 | Sherri Whitaker | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2019-06-27 |
1871081737 | Fatimah Aisha Johnson | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2018-04-26 |
1417498213 | Laura Miller | Nurse Practitioner | 1526 Cole Blvd Ste 300, Lakewood, CO 80401-3410 | 2017-03-13 |
Find all providers in LAKEWOOD |
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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.