DR. JAN MIKA DY TIOCO (NPI# 1639797319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639797319 |
| Entity Type | Individual |
| Full Name | DR. JAN MIKA DY TIOCO |
| Credential | PHARM.D. |
| Practice Address |
385 Tremont Ave East Orange NJ 07018-1023 |
| Mailing Address |
255 E Grand Ave Apt 315 Rahway NJ 07065-4566 |
| Practice Telephone | 9736761000 |
| Mailing Telephone | 2012861085 |
| Enumeration Date | 2020-07-09 |
| Last Update Date | 2020-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835P0018X |
Pharmacist Specialization: Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
28RI04058500 | NJ | Pharmacy Service Providers |
| Street Address |
385 TREMONT AVE |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731691 | Bernadette Galli | Nurse Practitioner | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2005-09-22 |
| 1134735509 | Avneesh Singh Arora | Social Worker | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-09-21 |
| 1447866967 | Frank Andrew Feraco | Dentist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-09-21 |
| 1194339259 | Kelly Chu | Psychologist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-09-04 |
| 1780297903 | Meredith Fleece | Social Worker | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-08-27 |
| 1740892280 | Julianna Marie Mola | Optometrist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-08-17 |
| 1285244434 | Samantha Varon | Psychologist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-08-03 |
| 1508480393 | Estefania Pilar Cabezas | Clinic/Center | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-06-08 |
| 1578186771 | Stephanie Solanki | Student in an Organized Health Care Education/Training Program | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-05-21 |
| 1124640149 | George Abadeer | Student in an Organized Health Care Education/Training Program | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 1835P0018X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
| Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management. |
| Notes: Source: National Uniform Claim Committee, 2007 [1/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124541560 | Nova Erica Cuevas Tan | Pharmacist | 385 Tremont Ave, East Orange, NJ 07018 | 2017-07-18 |
| 1649454109 | Li Li | Pharmacist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2007-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255958856 | Pavan K Parimi | Pharmacist | 40 Spruce Meadows Dr, Monroe Township, NJ 08831-3103 | 2020-06-30 |
| 1841814837 | Jibi Philip | Pharmacist | 186 Larch Ave, Dumont, NJ 07628-1327 | 2020-06-04 |
| 1154804185 | Christopher Manuel Bregna | Pharmacist | 60 Fairview Dr, East Hanover, NJ 07936-3508 | 2018-09-14 |
| 1104308121 | Mahwish Zafar | Pharmacist | 1726 Route 37 E, Toms River, NJ 08753-8237 | 2018-09-06 |
| 1386126118 | Panagiota Kousoulis | Pharmacist | 41 Spring St, New Providence, NJ 07974-1143 | 2018-08-29 |
| 1619470606 | Dina Minisi | Pharmacist | 57 Harrowgate Dr, Cherry Hill, NJ 08003-1938 | 2018-03-15 |
| 1720509888 | Sandra Sparta | Pharmacist | 66 Claire Dr, Bridgewater, NJ 08807-1854 | 2017-06-29 |
| 1205377272 | Glatz Rx Consultants LLC | Pharmacist | 54 Broken Arrow Road, Medford, NJ 08055 | 2017-03-10 |
| 1255871745 | Charles W Glatz | Pharmacist | 54 Broken Arrow Bend, Medford, NJ 08055 | 2017-03-02 |
| 1669917613 | Legendary Care Consulting | Pharmacist | 19 Amelia St, North Caldwell, NJ 07006-4155 | 2016-12-30 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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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.