JEFFERSON ISIBOR (NPI# 1659994465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659994465 |
| Entity Type | Individual |
| Full Name | JEFFERSON ISIBOR |
| Practice Address |
99 Beauvoir Ave Summit NJ 07901-3533 |
| Mailing Address |
77 Henning Ter Denville NJ 07834-3716 |
| Practice Telephone | 9085225342 |
| Mailing Telephone | 9732162172 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183500000X | Pharmacist | 28RI03071500 | NJ | Pharmacy Service Providers |
| Street Address |
99 BEAUVOIR AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010079 | John Halperin | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2005-08-17 |
| 1902404486 | Jenna Lin Boni | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-10-15 |
| 1508483116 | Khawaja Bakhtawar | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-30 |
| 1891312658 | Odon Makonko Nsungu | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-28 |
| 1316563679 | Sheryl Thant Yu Htoo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-23 |
| 1750906327 | Emily Findakly | Physician Assistant | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-10 |
| 1437779493 | Jason Robert Steiner | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-20 |
| 1114556669 | Jacqueline Bobson | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-06 |
| 1508495524 | John David Yachmetz | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-02 |
| 1245868363 | Brittany Baptiste | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 183500000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care. |
| Notes: Source: Adapted from National Association of Boards of Pharmacy Model State Pharmacy Act, Article 1, Section 104. [1/1/2006: definition modified, source modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063840684 | Sara Kiekow | Pharmacist | 36500 Aurora Dr Ste 100, Summit, WI 53066-4899 | 2013-10-16 |
| 1891070397 | Prapti Bhatt | Pharmacist | 364 Springfield Avenue, Summit, NJ 07901 | 2011-10-15 |
| 1205073251 | Kenny King | Pharmacist | 702 Grant St, Summit, MS 39666-9405 | 2009-01-13 |
| 1922119536 | William S Vallario | Pharmacist | 364 Springfield Ave, Summit, NJ 07901-4602 | 2006-08-31 |
| 1902436660 | Jill Demaster | Pharmacist | 36500 Aurora Dr Ste 100, Summit, WI 53066-4899 | 2020-01-22 |
| 1023577301 | Samuel Eugene Daniel Jr. | Pharmacist | 1121 Hwy 98/51, Summit, MS 39666 | 2019-03-18 |
| 1033594833 | Jessica Buzzelli | Pharmacist | 364 Springfield Ave, Summit, NJ 07901-4602 | 2015-07-22 |
| 1346631363 | Benjamin Mathew | Pharmacist | 29 Deforest Ave, Summit, NJ 07901 | 2015-02-12 |
| 1962830596 | Ann E Mccoy | Pharmacist | 36500 Aurora Dr Ste 100, Summit, WI 53066-4899 | 2013-10-16 |
| 1295160455 | Kajaal Bhasker Patel | Pharmacist | 364 Springfield Ave, Summit, NJ 07901-4602 | 2013-09-06 |
| Find all providers in SUMMIT | ||||
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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.