DEBORAH LEE KLANCHAR (NPI# 1437678596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437678596 |
| Entity Type | Individual |
| Full Name | DEBORAH LEE KLANCHAR |
| Practice Address |
3 Cooper Plz Rm 411 Camden NJ 08103-1438 |
| Mailing Address |
1 Federal St Ste Sw200 Camden NJ 08103-1155 |
| Practice Telephone | 8563423250 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2017-09-11 |
| Last Update Date | 2019-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00765100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NR13517200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STAT OF NEW JERSEY OFFICE OF ATTORNEY GENERAL DIVISION OF CONSUM | 26NR13517200 | 01 |
| PA | COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE | RN609518 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 437 Labrador Trl, Mullica Hill, NJ 080623219 | 8562231340 | |
| 6015 Main Street Complex, 901 Centennial Blvd, Voorhees, NJ 08043 | 8563423113 |
| Street Address |
3 COOPER PLZ RM 411 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073598256 | Steven Bonawitz | Plastic Surgery | 3 Cooper Plz Rm 411, Camden, NJ 08103 | 2005-12-12 |
| 1245858091 | Anna Caroline Stevens | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-08 |
| 1023635240 | Olivia Coburn-flynn | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-07-03 |
| 1689296766 | Swar N Vimawala | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2020-05-12 |
| 1700428075 | Stephanie Lynne Benko | Physician Assistant | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-10-08 |
| 1295396364 | Andrew Chia Hsueh Lin | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-27 |
| 1851950745 | Georgianna Amelia Sandilos | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-06-13 |
| 1386207702 | Alec Hayes Fisher | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-22 |
| 1053974824 | Mikael Fadoul | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2019-04-17 |
| 1336635929 | Clara Zhu | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 411, Camden, NJ 08103-1438 | 2018-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437696655 | Megan Cote | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2017-01-25 |
| 1598127664 | Lakiesha Michelle Bennett | Nurse Practitioner | 1 Cooper Plz, Dorrance 222, Camden, NJ 08103-1461 | 2016-03-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
| 1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
| 1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
| 1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
| 1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
| 1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
| 1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
| 1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
| Find all providers with the same taxonomy | ||||
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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.