MRS. TINA WISMAR


Address: 101 2nd St, Lakewood, NJ 08701-3324
Phone: 7327191506

MRS. TINA WISMAR (NPI# 1467968396) 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) 1467968396
Entity Type Individual
Full Name MRS. TINA WISMAR
Credential FNP-BC
Practice Address 101 2nd St
Lakewood
NJ 08701-3324
Practice Telephone 7327191506
Practice Fax Number 7327191551
Mailing Telephone 7327191506
Enumeration Date 2017-12-14
Last Update Date 2017-12-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
26NJ00783400 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 101 2ND ST
City LAKEWOOD
State NJ
Zip Code 08701-3324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710980917 Ocean Health Initiatives Clinic/Center 101 2nd St, Lakewood, NJ 08701-3324 2005-05-23
1770125122 Arielle Cheifetz Advanced Practice Midwife 101 2nd St, Lakewood, NJ 08701-3324 2019-10-16
1114494598 Melissa Mutter Social Worker 101 2nd St, Lakewood, NJ 08701-3324 2018-10-24
1750868931 Taijoon Park Dentist 101 2nd St, Lakewood, NJ 08701-3324 2018-07-20
1942792320 Katherine Anne Welter Advanced Practice Midwife 101 2nd St, Lakewood, NJ 08701-3324 2018-06-01
1609382670 Andrew Clark Nurse Practitioner 101 2nd St, Lakewood, NJ 08701-3324 2017-12-28
1558877746 Angela Jean Romero Nurse Practitioner 101 2nd St, Lakewood, NJ 08701-3324 2017-12-26
1922512946 Kendie Castillo Nurse Practitioner 101 2nd St, Lakewood, NJ 08701-3324 2017-11-29
1811410277 Robert Hildebrandt Dietitian, Registered 101 2nd St, Lakewood, NJ 08701-3324 2017-07-18
1720526544 Kristin Ashley Noto Nurse Practitioner 101 2nd St, Lakewood, NJ 08701-3324 2017-02-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639787393 Sky Care Aba LLC Social Worker 41 Carasaljo Drive, Lakewood, NJ 08701 2020-07-20
1487276325 Teresa Rose Alvarez Counselor 1215 Nj-70 W, Lakewood, NJ 08701 2020-05-14
1417588468 Miriam Pelberg Behavioral Analyst 519 Second St., Lakewood, NJ 08701 2020-01-29
1639700529 Rivky Parnes Occupational Therapy Assistant 110 Hillside Bullivard, Lakewood, NJ 08701 2020-01-29
1659910172 Esther Gold Behavioral Analyst 611 Stirling Ave A, Lakewood Township, NJ 08701 2020-01-01
1649816323 Julie Mcculley Orthotist 1353 River Ave Suite #4, Lakewood, NJ 08701 2019-11-18
1356990782 Lucy Dimeglio Technician 17 Amberlands Court, Lakewood, NJ 08701 2019-09-09
1992262299 Miriam Lichtschein Speech-Language Pathologist 1439 South Street, Lakewood, NJ 08701 2019-02-23
1407326531 Achievements Early Intervention Services Community/Behavioral Health 85a Gladiola Ct, Lakewood, NJ 08701 2018-12-02
1871062224 Ms Optical LLC Eyewear Supplier (Equipment, not the service) 12 America Ave, 1a, Lakewood, NJ 08701 2018-11-15
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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
1982218574 Primary Health Services LLC Nurse Practitioner 500 River Ave Ste 200, Lakewood, NJ 08701-4719 2020-09-01
1235748237 Esther Steinhaus Nurse Practitioner 409 Ashley Ave, Lakewood, NJ 08701-4866 2020-07-26
1609402817 Bridgit V Wedgle Nurse Practitioner 2556 S Jellison Ct, Lakewood, CO 80227-2872 2020-03-19
1255963187 Tresa Marie Glaser Nurse Practitioner 8807 25th Ave S, Lakewood, WA 98499-8301 2020-02-08
1972149490 Richard Allan Coronel Sy Nurse Practitioner 11645 Walcroft St, Lakewood, CA 90715-1356 2019-11-19
1609411867 Jennifer Lynn Wondel Nurse Practitioner 10424 W Arkansas Dr, Lakewood, CO 80232-5014 2019-11-12
1457901555 Nancy Wairimu Minjire Nurse Practitioner 9537 Gravelly Lake Dr Sw # E10, Lakewood, WA 98499-1513 2019-09-19
1619432325 Soroh Neuberger Nurse Practitioner 232 Jamescrest Ct, Lakewood, NJ 08701-4708 2019-02-06
1487118782 Krista Leigh Petry Nurse Practitioner 4720 Baker St, Lakewood, NY 14750-9772 2019-01-31
1649740093 Svetlana Polyakova Nurse Practitioner 8316 W Eastman Pl, Lakewood, CO 80227-6240 2018-11-28
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Competitor

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City LAKEWOOD
Zip Code 08701

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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