MARISSA MARTINA BREEZE (NPI# 1740762889) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740762889 |
Entity Type | Individual |
Full Name | MARISSA MARTINA BREEZE |
Practice Address |
25 Prospect Ave Hackensack NJ 07601-1960 |
Practice Telephone | 2013432277 |
Enumeration Date | 2018-09-05 |
Last Update Date | 2019-02-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
25 PROSPECT AVE |
City | HACKENSACK |
State | NJ |
Zip Code | 07601-1960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659326569 | Active Orthopaedics and Sports Medicine, Pa | Orthopaedic Surgery | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2006-05-23 |
1376103432 | Katherine Amato | Physician Assistant | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2019-06-19 |
1013499037 | Christopher Lands | Physical Therapist | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2018-09-06 |
1538619341 | Professional Occupational & Physical Therapy, Pllc | Physical Therapist | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-10-05 |
1942759311 | Michelle Castro | Nurse Practitioner | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-09-27 |
1528516663 | Ana Maria Pimentel | Podiatrist | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-09-19 |
1467908418 | Julianne Roccuzzo | Physical Therapist | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-08-30 |
1528514544 | Janelle Bang | Physical Therapist | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-08-30 |
1801249651 | Adriana Hache | Physician Assistant | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-07-18 |
1811341068 | Melissa R Rossi | Podiatrist | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-04-13 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
Find all providers in zip 07601 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
1003420050 | Isabelle Salvador | Physician Assistant | 5 Summit Ave Ste 105, Hackensack, NJ 07601-1271 | 2020-09-06 |
1376103432 | Katherine Amato | Physician Assistant | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2019-06-19 |
1184174526 | Megan Hilary Bernstein | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2016-10-10 |
1801249651 | Adriana Hache | Physician Assistant | 25 Prospect Ave, Hackensack, NJ 07601-1960 | 2016-07-18 |
1366894198 | Jing Zhang | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2016-07-05 |
1760886170 | Devin Marie Himchak Braz | Physician Assistant | 20 Prospect Ave, Suite 402, Hackensack, NJ 07601-1997 | 2014-10-14 |
1033454921 | Mark Theodore Layton | Physician Assistant | 211 Essex St, Suite 101, Hackensack, NJ 07601-3231 | 2012-12-03 |
1801090253 | Vanessa Disla | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2007-06-11 |
1801957626 | Gordon Huie | Physician Assistant | 360 Essex St Ste 303, Hackensack University Medical Center, Hackensack, NJ 07601-8566 | 2006-12-13 |
Find all providers in HACKENSACK |
City | HACKENSACK |
Zip Code | 07601 |
Please comment or provide details below to improve the information on MARISSA MARTINA BREEZE.
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.