JENNA MARIE VANDEWATER (NPI# 1558983429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558983429 |
| Entity Type | Individual |
| Full Name | JENNA MARIE VANDEWATER |
| Practice Address |
1945 State Route 33 Neptune NJ 07753-4859 |
| Mailing Address |
67 Stonehenge Ter Clark NJ 07066-2048 |
| Practice Telephone | 7327755500 |
| Mailing Telephone | 9086165149 |
| Enumeration Date | 2020-05-13 |
| Last Update Date | 2020-05-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1945 STATE ROUTE 33 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124023601 | Khaled M Morsi | Anesthesiology | 1945 State Route 33, Neptune, NJ 07753-4859 | 2005-06-20 |
| 1932700978 | Valeria Roberta Miller | Nurse Practitioner | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-11-05 |
| 1992327803 | Christopher J. Garofalo | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-13 |
| 1477175354 | Joshua Lee Ramos | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-13 |
| 1619599925 | Umeer Muhammad Sheikh | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-08 |
| 1497377923 | Tasnuva Amin | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-06 |
| 1235750985 | Gregory Vurture | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-05 |
| 1790306413 | Elyon Obamedo | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-04 |
| 1366063166 | Deborah Rebecca Winograd | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-03 |
| 1780205658 | Ahmad M Qatanani | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477173037 | Angelica Wills | Student in an Organized Health Care Education/Training Program | 19 Davis Ave # 9th, Neptune, NJ 07753-4488 | 2020-04-23 |
| 1376047787 | Stacy-ann Wayne | Student in an Organized Health Care Education/Training Program | 1945 State Route 33 # Rosa122, Neptune, NJ 07753-4859 | 2018-03-20 |
| 1437572468 | Farhan Malik | Student in an Organized Health Care Education/Training Program | 525 Timber Ridge Ct, Neptune, NJ 07753-3022 | 2014-01-28 |
| 1225450851 | Sagar Lad | Student in an Organized Health Care Education/Training Program | 2100 State Highway 33, Suite 9-10, Neptune, NJ 07753-6102 | 2014-01-16 |
| 1609138908 | Muhammad Salman Shahid | Student in an Organized Health Care Education/Training Program | Atlantic Cardiology, LLC, 444 Neptune Blvd., Neptune, NJ 07753-4144 | 2012-06-12 |
| 1821286931 | Kamile Silay | Student in an Organized Health Care Education/Training Program | 14 Ash Dr, Neptune, NJ 07753-3600 | 2007-10-15 |
| 1548882301 | Nicole Tavernier | Student in an Organized Health Care Education/Training Program | 1945 Route 33, Neptune, NJ 07753 | 2020-05-14 |
| 1437771375 | Adam Jon Muncan | Student in an Organized Health Care Education/Training Program | Jersey Shore University Medical Center, 1945 State Route 33, Neptune, NJ 07753 | 2020-05-14 |
| 1992327803 | Christopher J. Garofalo | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-13 |
| 1477175354 | Joshua Lee Ramos | Student in an Organized Health Care Education/Training Program | 1945 State Route 33, Neptune, NJ 07753-4859 | 2020-05-13 |
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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.