DYNEISE TUCKER (NPI# 1427683465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427683465 |
| Entity Type | Individual |
| Full Name | DYNEISE TUCKER |
| Practice Address |
87 2nd St Apt 2 Newark NJ 07107-3103 |
| Practice Telephone | 8629448037 |
| Mailing Telephone | 8629448037 |
| Enumeration Date | 2020-03-10 |
| Last Update Date | 2020-03-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities |
| Street Address |
87 2ND ST APT 2 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-3103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384204 | Devoted Homecare Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 11 Coralberry Dr, Newark, DE 19702-3928 | 2020-10-26 |
| 1720611478 | The North Ward Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Clifton Ave, Newark, NJ 07104-1202 | 2020-02-20 |
| 1639700271 | Hope Jeka Kye | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 182 1st St, Newark, NJ 07107-2201 | 2020-02-02 |
| 1790337319 | Home 2 Care Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 515 Mount Prospect Ave Apt 1h, Newark, NJ 07104-2942 | 2019-07-13 |
| 1316420755 | The North Ward Center, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 346 Mount Prospect Ave, Newark, NJ 07104-2106 | 2018-09-12 |
| 1407333982 | Rasheeta Milton | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 24 Melrose Ave, Newark, NJ 07106-2708 | 2018-07-26 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1326550203 | Happy Home Nj, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 31 Midland Pl, Newark, NJ 07106-2803 | 2017-10-31 |
| 1528588258 | Arc of Essex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 539 Mount Prospect Ave Apt 1, Newark, NJ 07104-1529 | 2017-06-23 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| Find all providers in NEWARK | ||||
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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.