PROSPER JEROME


Address: 15 S Queen St, Bergenfield, NJ 07621-1920
Phone: 2015880459

PROSPER JEROME (NPI# 1528543733) 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) 1528543733
Entity Type Individual
Full Name PROSPER JEROME
Credential NP-C
Practice Address 15 S Queen St
Bergenfield
NJ 07621-1920
Practice Telephone 2015880459
Mailing Telephone 2015880459
Enumeration Date 2018-10-03
Last Update Date 2019-02-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
308955 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 15 S QUEEN ST
City BERGENFIELD
State NJ
Zip Code 07621-1920

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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326498957 Rowena Bautista Nurse Practitioner 107 Lake St, Bergenfield, NJ 07621-2855 2016-06-14
1528443447 Elizabeth R Mathews Nurse Practitioner 24 Zuegel Ct, Bergenfield, NJ 07621-2426 2015-07-21
1003147976 Sanju Varghese Nurse Practitioner 137 Greenbriar St, #2, Bergenfield, NJ 07621-4226 2010-01-16
1992855654 Nora Cuison Salvatoriello Nurse Practitioner #26 Dick Street, Bergenfield, NJ 07621 2007-01-12
1144753674 Jennifer Valdez Nurse Practitioner 1 N Washington Ave, Bergenfield, NJ 07621-2125 2017-04-11

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Competitor

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City BERGENFIELD
Zip Code 07621

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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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