MARGO C PUCCIARELLI (NPI# 1497992820) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497992820 |
| Entity Type | Individual |
| Full Name | MARGO C PUCCIARELLI |
| Credential | RPA-C |
| Practice Address |
355 Grand Street Jersey City Medical Center, Dept of Surgery- 3 East Jersey City NJ 07302-4321 |
| Mailing Address |
8 Prusakowski Blvd Parlin NJ 08859-3161 |
| Practice Telephone | 2019152000 |
| Mailing Telephone | 8563043756 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00212000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
355 GRAND STREET JERSEY CITY MEDICAL CENTER, DEPT OF SURGERY- 3 EAST |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678039 | James H Brown Jr. | Radiology | 355 Grand Street, Jersey City Medical Center, Jersey City, NJ 07302 | 2005-06-13 |
| 1336757244 | Katrina Kam-yue Au | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-07-16 |
| 1790305308 | Shayan Faiq | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-23 |
| 1922627215 | Sandra Oluwatofarati Akinbinu | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-16 |
| 1124648464 | Salman Samar | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-16 |
| 1174142558 | Saad Sharif | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-15 |
| 1558927954 | Shanice Peters | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2019-05-13 |
| 1508421868 | Devanshi Patel | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2019-05-02 |
| 1922560903 | Alejandro Jose Herrera | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2019-04-01 |
| 1700375706 | Prakash Bahadur Chand | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Department of Internal Medicine, Jersey City, NJ 07302 | 2018-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740281898 | Brian Edward Van Ness | Physician Assistant | 70 Christopher Columbus Dr, Apt 3210, Jersey City, NJ 07302-7048 | 2005-08-10 |
| 1972954543 | Jacqueline Kocot | Physician Assistant | 355 Grand St, Jersey City, NJ 07302-4321 | 2016-06-24 |
| 1588040968 | Kristen Mccauley | Physician Assistant | 355 Grand St, Jersey City, NJ 07302-4321 | 2015-08-07 |
| 1972898492 | Maria Iloisa Noceja Aviso | Physician Assistant | 395 Grand St, 3rd Floor, Jersey City, NJ 07302-4238 | 2011-06-13 |
| 1225210321 | Rosanne Deangelis | Physician Assistant | 355 Grand St, Jersey City, NJ 07302-4321 | 2007-11-30 |
| 1306064357 | Tanya Cicerale | Physician Assistant | 355 Grand Street, Jersey City, NJ 07302 | 2007-04-23 |
| 1336174275 | Janet Motta | Physician Assistant | 355 Grand Street, Jersey City Medical Center, Dept. of Ct Surgery, Jersey City, NJ 07302 | 2006-07-11 |
| 1235136318 | Allison Boyanovski | Physician Assistant | 355 Grand St, Surgery Department, Jersey City, NJ 07302-4321 | 2005-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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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.