MR. VALLLERY SUPPLICE (NPI# 1730735473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730735473 |
| Entity Type | Individual |
| Full Name | MR. VALLLERY SUPPLICE |
| Practice Address |
218 Sherman Ave Newark NJ 07114-1650 |
| Practice Telephone | 7709407390 |
| Mailing Telephone | 7709407390 |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2019-08-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
218 SHERMAN AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-1650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223897 | Verne Taylor | Case Manager/Care Coordinator | 36397 Dijon Dr, Newark, CA 94560-2458 | 2020-04-10 |
| 1669006698 | Kennedy Asa Smith | Case Manager/Care Coordinator | 15 N 3rd St # 200, Newark, OH 43055-5550 | 2020-02-28 |
| 1942848403 | Amia J Pinckney | Case Manager/Care Coordinator | 243 South 11th Street, Newark, NJ 07103-0710 | 2019-12-16 |
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1497233084 | Leighanna Wagner | Case Manager/Care Coordinator | 1547 Crystal Ct Apt D, Newark, OH 43055-6184 | 2018-08-06 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1154857779 | Julian King | Case Manager/Care Coordinator | 2590 Loper Rd Ne, Newark, OH 43055-9728 | 2017-05-02 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1619324563 | Juliana N Dasilva | Case Manager/Care Coordinator | 59 Wilson Ave, #3, Newark, NJ 07105-3216 | 2016-05-20 |
| 1205290244 | Gabrielle Mensah | Case Manager/Care Coordinator | 3c Queens Cir, Newark, DE 19702-1465 | 2016-04-06 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on MR. VALLLERY SUPPLICE.
| 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.