PAULA PRESTON-DOUGHERTY


Address: 128 Route 70, Medford, NJ 08055-2371
Phone: 6099537105

PAULA PRESTON-DOUGHERTY (NPI# 1427423920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1427423920
Entity Type Individual
Full Name PAULA PRESTON-DOUGHERTY
Credential MSN
Practice Address 128 Route 70
Medford
NJ 08055-2371
Mailing Address 7000 Atrium Way Ste 6
Mount Laurel
NJ 08054-3917
Practice Telephone 6099537105
Practice Fax Number 6099537110
Mailing Telephone 8562064508
Enumeration Date 2015-12-09
Last Update Date 2020-10-18
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse 26NR15684900 NJ Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
26NJ00622100 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 128 ROUTE 70
City MEDFORD
State NJ
Zip Code 08055-2371

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013961341 Mark William Butler Physical Therapist 128 Route 70, Suite 2c, Medford, NJ 08055-2371 2006-05-20
1922648401 Caitlin Martin Occupational Therapist 128 Route 70, Medford, NJ 08055-2371 2020-01-13
1144770975 Virtua Medical Group, Pa Clinic/Center 128 Route 70, Suite 1, Medford, NJ 08055 2016-10-05
1922555457 Scott Middleton Physical Therapist 128 Route 70, #2c, Medford, NJ 08055-2371 2016-09-01
1750743084 Kadin Foot & Ankle Center PC Podiatrist 128 Route 70, Suite 14, Medford, NJ 08055-2371 2016-03-25
1356752778 Kathryn Farrell Nurse Practitioner 128 Route 70, Medford, NJ 08055-2371 2014-05-20
1699192005 Danielle Murphy Cooney Occupational Therapist 128 Route 70, Suite 2 C, Medford, NJ 08055-2371 2014-03-24
1578906343 Thomas Marzili Md LLC Non-Pharmacy Dispensing Site 128 Route 70, Suite 13, Medford, NJ 08055-2371 2013-04-11
1801131412 Thomas J Marzili Md LLC Clinic/Center 128 Route 70, Suite 13, Medford, NJ 08055-2371 2012-12-07
1972770402 Mary Schubert Gang Veterinarian 128 Route 70, Unit 10, Medford, NJ 08055-2371 2008-05-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215406459 Natalia Eltabaa Nurse Practitioner 143b Atsion Rd, Medford, NJ 08055 2018-11-16
1922574326 Emily G Wilkins Psychiatry & Neurology 239 Taunton, A-2, Medford, NJ 08055 2018-10-23
1508348863 Gerald D Mingin Jr. Psychologist 135 Eayrestown Rd. Suite A, Southampton, NJ 08055 2018-09-04
1316465750 Gabriella Marie Francis Specialist/Technologist 133 Apache Trail, Medford Lakes, NJ 08055 2017-09-06
1265968572 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 609 Eugenia, Medford, NJ 08055 2017-05-05
1326574690 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1503 Cedar Dr, Medford, NJ 08055 2017-05-05
1780110007 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1610 Cedar Dr, Medford, NJ 08055 2017-05-05
1902332216 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1909 Cedar Dr, Medford, NJ 08055 2017-05-05
1083140396 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 503 Eugenia Dr, Medford, NJ 08055 2017-05-05
1457887762 Bancroft Neurohealth Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 905 Eugenia Dr, Medford, NJ 08055 2017-05-05
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679113922 Elena Chapman Nurse Practitioner 293 Salem St 4, Medford, MA 02155 2020-01-14
1770005407 Suzanne Ellen Sanderson Nurse Practitioner 2620 E Barnett Rd Ste H, Medford, OR 97504-8383 2017-07-14
1194189902 Josephine Magpantay Gaviola Nurse Practitioner 101 Main St Ste 116, Medford, MA 02155-4530 2016-04-07
1033514286 Lauren E Hodgdon Nurse Practitioner 1698 E Mcandrews Rd Ste 200, Medford, OR 97504 2014-10-30
1962820209 Jessica Anne Marie Gunn Nurse Practitioner 21 Ohio Trl, Medford, NJ 08055-8931 2014-04-03
1912333451 Travis Adam Day Nurse Practitioner 70 Bower Dr Ste 110, Medford, OR 97501-3689 2013-09-16
1184058703 Ashley Riley Nurse Practitioner 101 Main St Ste 107, Medford, MA 02155-4530 2013-08-30
1578841169 Shannon Jamerson Nurse Practitioner 619 N Front St, Medford, OK 73759-2704 2011-07-29
1891081113 Debra Jeanne Zenner Nurse Practitioner 143 South Gibson St., Medford, WI 54451 2011-06-24
1366763336 Edward William Walton Nurse Practitioner 2 Pinecrest Dr, Medford, NJ 08055-8513 2010-06-14
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Competitor

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City MEDFORD
Zip Code 08055

Improve Information

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Dataset Information

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.

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