MEDPRO WELLNESS LLC (NPI# 1457881450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457881450 |
| Entity Type | Organization |
| Organization Name | MEDPRO WELLNESS LLC |
| Practice Address |
31-00 Broadway Ste 3 Fair Lawn NJ 07410-3963 |
| Practice Telephone | (551) 444-1102 |
| Mailing Telephone | 5514441102 |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2017-06-13 |
| Authorized Official Name | BRITTANY VAN SICKLE (HEALTH COACH) |
| Authorized Official Telephone | 2017710923 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
31-00 BROADWAY STE 3 |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-3963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114440286 | Brittany Van Sickle | Health Educator | 31-00 Broadway Ste 3, Fair Lawn, NJ 07410-3963 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114440286 | Brittany Van Sickle | Health Educator | 31-00 Broadway Ste 3, Fair Lawn, NJ 07410-3963 | 2017-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471491 | Mindright Health | Health Educator | 1 Washington Park Fl 7, Newark, NJ 07102-3122 | 2020-09-09 |
| 1043821432 | Simona Carputo | Health Educator | 10 Tremont Pl, Nutley, NJ 07110-3134 | 2020-08-11 |
| 1104434315 | Evenly Lewis | Health Educator | 455 Hillside Ave, Piscataway, NJ 08854-4748 | 2020-07-14 |
| 1609493436 | Morgan D Park | Health Educator | 621 Lloyd Rd, Aberdeen, NJ 07747-1302 | 2020-06-27 |
| 1679196323 | Linda Downey | Health Educator | 55 N Middaugh St, Somerville, NJ 08876-1830 | 2020-05-28 |
| 1003437401 | Roberta Rodrigues | Health Educator | 354 State St Ste 4, Hackensack, NJ 07601-5530 | 2020-04-27 |
| 1255966032 | Mara Campos | Health Educator | 477 Elm St, Kearny, NJ 07032-3513 | 2020-03-11 |
| 1013565969 | Judy Weinstein | Health Educator | 306 Pleasant Valley Rd, Mendham, NJ 07945-2955 | 2019-09-03 |
| 1881255362 | Maria Tabone | Health Educator | 5 Baltusrol Pl, Summit, NJ 07901-3303 | 2019-06-25 |
| 1003383936 | Jaquel Windbush | Health Educator | 1244 Thornton Ave, Plainfield, NJ 07060-2652 | 2018-10-29 |
| 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.