MS. EVELYN KINYUY NGWA (NPI# 1467785154) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467785154 |
| Entity Type | Individual |
| Full Name | MS. EVELYN KINYUY NGWA |
| Credential | NURSE PRACTITIONER |
| Practice Address |
16 Roosevelt Drive Laurel Springs NJ 08021-2731 |
| Mailing Address |
Po Box 1897 Laurel Springs NJ 08021-8897 |
| Practice Telephone | 8562326058 |
| Practice Fax Number | 8562328260 |
| Mailing Telephone | 8562326058 |
| Mailing Fax Number | 8562328260 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2010-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0000X |
Registered Nurse Specialization: General Practice |
26NO12420700 | NJ | Nursing Service Providers |
| Y | 364SF0001X |
Clinical Nurse Specialist Specialization: Family Health |
26NJ000261200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
16 ROOSEVELT DRIVE |
| City | LAUREL SPRINGS |
| State | NJ |
| Zip Code | 08021-2731 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477628816 | Catherine A Menewisch | Nurse Practitioner | 16 Roosevelt Drive, Laurel Springs, NJ 08021 | 2006-11-21 |
| 1437224888 | Barbara Vassallo | Nurse Practitioner | 16 Roosevelt Drive, Laurel Springs, NJ 08021 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124663059 | Harmony Bay Wellness, LLC | Clinic/Center | 1387 Chews Landing Road, Laurel Springs, NJ 08021 | 2019-11-14 |
| 1134782576 | Mobile Dental Care of Delaware Pa | Dentist | 239 Cypress Ave, Lindenwold, NJ 08021 | 2019-04-22 |
| 1316441645 | Ability Advocates of New Jersey | Case Management | 1451 Chews Landing Rd, Suite 208, Clementon, NJ 08021 | 2018-03-21 |
| 1871007286 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 43 Park Boulevard, Clementon, NJ 08021 | 2017-11-21 |
| 1639697444 | Oaks Integrated Care | Clinic/Center | 1611 Hinder La, Clemmenton, NJ 08021 | 2017-08-31 |
| 1548785462 | Poonam Yadav | Dentist | 3, Kelly Drivers Ln, Laurel Springs, NJ 08021 | 2017-08-11 |
| 1669996468 | Arc of Camden County - Heather Sa | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1990 Laurel Road, Apt Ac-248, Lindenwold, NJ 08021 | 2017-08-02 |
| 1881118610 | Arc of Camden County- Millbridge Supported Living | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 285 Millhurst Ct, Apt 258, Clementon, NJ 08021 | 2017-08-02 |
| 1710409982 | Leavy Healthcare Services, Inc. | Non-emergency Medical Transport (VAN) | 906 Mason Run, Pine Hill, NJ 08021 | 2017-07-10 |
| 1982134599 | Achieving A Better Life | Case Management | 1600 Laurel Road, E66, Lindenwold, NJ 08021 | 2017-06-15 |
| Find all providers in zip 08021 | ||||
| Taxonomy Code | 364SF0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Family Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437798089 | Yardena Mandel | Clinical Nurse Specialist | 88 Reid Ave, Passaic, NJ 07055-3414 | 2019-12-30 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1326411604 | Catherine Aurelie Hoch | Clinical Nurse Specialist | 727 N. Beers St, Holmdel, NJ 07733 | 2015-11-09 |
| 1376914713 | Cristina Spagnoli Ricketti | Clinical Nurse Specialist | 3100 Princeton Pike Ste 4g, Lawrenceville, NJ 08648-2300 | 2015-10-12 |
| 1891126173 | Michelle Rivera De Jesus | Clinical Nurse Specialist | 140 Franklin Turnpike, Vm6, Waldwick, NJ 07643 | 2013-12-11 |
| 1861714644 | Desiree Sokoli | Clinical Nurse Specialist | 12 Stuckler Lane, Wayne, NJ 07470 | 2010-02-22 |
| 1154533511 | Maia Cynthia Greene | Clinical Nurse Specialist | 1 Washington Blvd Ste A, Robbinsville, NJ 08691-3162 | 2007-05-05 |
| 1700894722 | Michele Davide | Clinical Nurse Specialist | 151 Rte 10 East, Suite 105, Succasunna, NJ 07876 | 2006-08-04 |
| 1174063655 | Bethany Harsche | Clinical Nurse Specialist | 1a Regulus Dr, Turnersville, NJ 08012-2427 | 2017-03-02 |
| 1528505294 | Leinina Donnelly | Clinical Nurse Specialist | 321 N Warren St, Trenton, NJ 08618-4741 | 2017-01-19 |
| Find all providers with the same taxonomy | ||||
| City | LAUREL SPRINGS |
| Zip Code | 08021 |
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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.