MRS. ANGELA BERTOLA (NPI# 1639729866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639729866 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA BERTOLA |
| Other Name | ANGELA SIMONE |
| Credential | NP |
| Practice Address |
1578 Rte 23 Wayne NJ 07470-7516 |
| Mailing Address |
9 Tulip Ln Monroe NY 10950-1016 |
| Practice Telephone | 9738324925 |
| Mailing Telephone | 2019788415 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00973800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1578 RTE 23 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-7516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1851833818 | Tiana M Rodriguez | Case Manager/Care Coordinator | 13 Colyer Terr, Wayne, NJ 07470 | 2016-11-08 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033725270 | Tangina B Rahman | Nurse Practitioner | 15 Vizcaya Ct, Wayne, NJ 07470-6279 | 2020-09-22 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| 1891242194 | Maria Cecilia Kitele | Nurse Practitioner | 1594 Ratzer Rd, Wayne, NJ 07470-2435 | 2016-09-02 |
| 1740631068 | Tina Grace Vacante | Nurse Practitioner | 153 Redwood Ave, Wayne, NJ 07470-5137 | 2016-06-28 |
| 1053657411 | Se Young Oh | Nurse Practitioner | 1680 Route 23 Ste 250, Wayne, NJ 07470-7520 | 2012-12-12 |
| 1295349058 | Joo Yeon Jang | Nurse Practitioner | 2440 Hamburg Tpke, Wayne, NJ 07470-6226 | 2020-08-31 |
| 1700404811 | Catherine Andela-ruth | Nurse Practitioner | 1200 Providence Rd, Wayne, NE 68787-1212 | 2020-07-06 |
| 1053954339 | Hamida Yaqoobi | Nurse Practitioner | 2440 Hamburg Tpke, Wayne, NJ 07470-6226 | 2019-10-19 |
| 1649836867 | Ian Rabinowitz | Nurse Practitioner | 224 Hamburg Tpke, Wayne, NJ 07470-2168 | 2019-05-13 |
| 1225507312 | Caroline Juterbock | Nurse Practitioner | 372 W Lancaster Ave, Wayne, PA 19087-3924 | 2018-11-19 |
| Find all providers in WAYNE | ||||
Please comment or provide details below to improve the information on MRS. ANGELA BERTOLA.
| 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.