ALEJO TERRENCE DEGAWAN TABUR (NPI# 1679192728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679192728 |
| Entity Type | Individual |
| Full Name | ALEJO TERRENCE DEGAWAN TABUR |
| Credential | M.D. |
| Practice Address |
Jersey City Medical Center, 355 Grand Street Jersey City NJ 07302 |
| Mailing Address |
9516 130th St, South Richmond Hill New York NY 11419 |
| Practice Telephone | 2019152431 |
| Mailing Telephone | 9294811581 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-09-03 |
| Gender Code | M |
| 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 |
JERSEY CITY MEDICAL CENTER, 355 GRAND STREET |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972122083 | Affan Munir | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07030 | 2020-04-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| 1053832733 | Nina Michelle Chiabo | Physical Therapist | 201 Marin Blvd, Jersey City, NJ 07302 | 2017-07-03 |
| Find all providers in zip 07302 | ||||
| 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 |
|---|---|---|---|---|
| 1083236525 | Emmanuel Mogire | Student in an Organized Health Care Education/Training Program | 274 Stevens Ave, Jersey City, NJ 07305-1314 | 2020-05-07 |
| 1285254250 | Yazan Ahmad Alkhawam | Student in an Organized Health Care Education/Training Program | 273 16th St Apt 714, Jersey City, NJ 07310-1041 | 2020-04-20 |
| 1528696614 | Ikenna Obiakwata | Student in an Organized Health Care Education/Training Program | 36 Duncan Ave Apt D1, Jersey City, NJ 07304-2151 | 2020-04-01 |
| 1114575503 | Mussyyab Iqbal | Student in an Organized Health Care Education/Training Program | 280 Marin Blvd Apt 3i, Jersey City, NJ 07302-3690 | 2019-08-28 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1952964454 | Jennifer Kurowicki | Student in an Organized Health Care Education/Training Program | 25 Park Ln S Apt 801, Jersey City, NJ 07310-3124 | 2019-04-19 |
| 1184287286 | Erick Heiman | Student in an Organized Health Care Education/Training Program | 414 Grand St Ste 14, Jersey City, NJ 07302-4240 | 2019-04-15 |
| 1700346715 | Gustavo Giancarlo Sanchez Soto | Student in an Organized Health Care Education/Training Program | 543 Central Ave Apt 3, Jersey City, NJ 07307-2595 | 2019-03-25 |
| 1467934976 | Orlando Robledo Jr. | Student in an Organized Health Care Education/Training Program | 70 Hancock Ave Apt 3r, Jersey City, NJ 07307-2221 | 2018-08-30 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
Please comment or provide details below to improve the information on ALEJO TERRENCE DEGAWAN TABUR.
| 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.