MR. ROGER DUCKETT (NPI# 1487200051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487200051 |
| Entity Type | Individual |
| Full Name | MR. ROGER DUCKETT |
| Practice Address |
1035 Harding Hwy Buena NJ 08310-1533 |
| Practice Telephone | 2157567349 |
| Mailing Telephone | 2157567349 |
| Enumeration Date | 2019-08-10 |
| Last Update Date | 2019-08-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Street Address |
1035 HARDING HWY |
| City | BUENA |
| State | NJ |
| Zip Code | 08310-1533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205325933 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 E Weymouth Rd, Buena, NJ 08310-1208 | 2018-05-08 |
| 1366427346 | Matthew Caverow | Physical Therapist | 118 Wheat Rd, Buena, NJ 08310-1402 | 2005-12-13 |
| 1538138862 | Frederick J Schwindt | Physical Therapist | 118 Wheat Rd, Buena, NJ 08310-1402 | 2006-03-17 |
| 1689295669 | Laura Cintron | Social Worker | 962 Harding Hwy, Buena, NJ 08310-1526 | 2020-05-01 |
| 1336598846 | Merakey New Jersey | Community/Behavioral Health | 938 Harding Hwy, Buena, NJ 08310-1526 | 2016-06-06 |
| 1316434350 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Weymouth Rd, Buena, NJ 08310-1618 | 2018-04-16 |
| 1033501853 | Azure Wilson | Counselor | 311 Weymouth Rd, Buena, NJ 08310-1623 | 2015-03-03 |
| 1639124456 | John A Pirolli | Family Medicine | 761 S Harding Hwy, Buena, NJ 08310-9732 | 2006-05-23 |
| 1730127564 | Paul Peterson IIi | Internal Medicine | 761 S Harding Hwy, Buena, NJ 08310-9732 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689295669 | Laura Cintron | Social Worker | 962 Harding Hwy, Buena, NJ 08310-1526 | 2020-05-01 |
| 1801363338 | Maria Elena Contreras | Technician, Health Information | 201 Highland Drive, Buena, WA 98921 | 2018-11-02 |
| 1205325933 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 131 E Weymouth Rd, Buena, NJ 08310-1208 | 2018-05-08 |
| 1316434350 | Heart To Heart Health Care Services, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Weymouth Rd, Buena, NJ 08310-1618 | 2018-04-16 |
| 1336598846 | Merakey New Jersey | Community/Behavioral Health | 938 Harding Hwy, Buena, NJ 08310-1526 | 2016-06-06 |
| 1033501853 | Azure Wilson | Counselor | 311 Weymouth Rd, Buena, NJ 08310-1623 | 2015-03-03 |
| 1588879928 | Yakima Valley Council On Alcoholism | Substance Abuse Rehabilitation Facility | 201 Highland Dr, Buena, WA 98921 | 2007-05-11 |
| 1639124456 | John A Pirolli | Family Medicine | 761 S Harding Hwy, Buena, NJ 08310-9732 | 2006-05-23 |
| 1366427346 | Matthew Caverow | Physical Therapist | 118 Wheat Rd, Buena, NJ 08310-1402 | 2005-12-13 |
| 1497382782 | Mitchell Andrew Tobiness | Counselor | 201 Highland Dr, Buena, WA 98921-0139 | 2020-03-25 |
| Find all providers in BUENA | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255930343 | Telisha Reams | Day Training/Habilitation Specialist | 280 Wayne Ave Apt 10, Paterson, NJ 07502-1736 | 2020-10-20 |
| 1912506338 | Tara Jones | Day Training/Habilitation Specialist | 22 Gladstone Ave, Newark, NJ 07106-2208 | 2020-10-19 |
| 1750921805 | Elizabeth Adekunle | Day Training/Habilitation Specialist | 120 Green St Apt 310, Newark, NJ 07105-6798 | 2020-01-07 |
| 1770129975 | Essex Regional Educational Services Commission | Day Training/Habilitation Specialist | 520 Pompton Avenue, Attn: Amy Woods, Cedar Grove, NJ 07009 | 2019-11-22 |
| 1578105185 | Total Care Day Habilitation LLC | Day Training/Habilitation Specialist | 35 Highland Ave, Piscataway, NJ 08854-4813 | 2019-10-15 |
| 1366092710 | New Beginning for Special Needs Inc | Day Training/Habilitation Specialist | 75 Stivers St, Cresskill, NJ 07626-1817 | 2019-09-18 |
| 1982253167 | Mastery Curriculum Vitae | Day Training/Habilitation Specialist | 10 Mattimore St, Passaic, NJ 07055-7010 | 2019-09-10 |
| 1851957294 | Sovereign Care Services | Day Training/Habilitation Specialist | 1346 How Ln # 104, North Brunswick, NJ 08902-1725 | 2019-05-10 |
| 1053877837 | Etta Conteh | Day Training/Habilitation Specialist | 250 Marlboro Rd, Old Bridge, NJ 08857-1401 | 2019-02-16 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 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.