MS. ELLEN JO FASANARO (NPI# 1760526610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760526610 |
| Entity Type | Individual |
| Full Name | MS. ELLEN JO FASANARO |
| Credential | NP |
| Practice Address |
1114 Goffle Rd Hawthorne NJ 07506-2014 |
| Practice Telephone | 9734277676 |
| Practice Fax Number | 9734277476 |
| Mailing Telephone | 9734277676 |
| Mailing Fax Number | 9734277476 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NN08252000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1114 GOFFLE RD |
| City | HAWTHORNE |
| State | NJ |
| Zip Code | 07506-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467517334 | Avril D Anthony-wilson | Family Medicine | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2006-12-22 |
| 1730576612 | Virginia Riggs | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2015-04-19 |
| 1003243981 | Lisa Draucikas | Family Medicine | 1114 Goffle Rd, Suite 103, Hawthorne, NJ 07506-2014 | 2013-10-09 |
| 1114062700 | Mary C Bergin | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-21 |
| 1164566915 | Phyllis E Hughes | Nurse Practitioner | 1114 Goffle Rd, Hawthorne, NJ 07506-2014 | 2007-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851881262 | The Art of Listening Counselling Services LLC | Counselor | 96-98 Parmelee Ave, Hawthorne, NJ 07506 | 2018-05-11 |
| 1275034548 | Erika Hernandez | Social Worker | 121 Rea Avenue, Hawthorne, NJ 07506 | 2018-02-22 |
| 1649702010 | Eastern Christian Children's Retreat | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Rockledge Rd, Hawthorne, NJ 07506 | 2017-04-03 |
| 1598109332 | Belgica Rosario | Social Worker | 121 Rea Ave, Hawthorne, NJ 07506 | 2013-04-23 |
| 1972887842 | Kristina Leigh Kupryk | Physician Assistant | 245 Diamond Bridge Avenue, Hawthorne, NJ 07506 | 2011-10-10 |
| 1831322759 | Kerri Scully | Counselor | 135 Westervelt Ave., Hawthorne, NJ 07506 | 2009-08-26 |
| 1558507830 | Roger Earl White | Dentist | 623 Lafayette Avenue, Suite 1, Hawthorne, NJ 07506 | 2008-12-17 |
| 1639292410 | Lafayette Family Dentistry Mgmt Inc | Dentist | 540 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-04-09 |
| 1770609752 | Always There Inc | Home Health | 383 Lafayette Avenue, Hawthorne, NJ 07506 | 2007-03-22 |
| 1407994247 | Anthony Michael Pallotta | Dentist | 164 Warburton Avenue, Hawthorne, NJ 07506 | 2007-02-02 |
| Find all providers in zip 07506 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912396219 | Jaclyn Basso | Nurse Practitioner | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2140 | 2015-01-10 |
| 1922252238 | Louise M Danzig | Nurse Practitioner | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2140 | 2008-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
| 1558985812 | Kristine Esguerra | Nurse Practitioner | 853 Sheridan St, Union, NJ 07083-6564 | 2020-06-02 |
| 1699398495 | Shannon Gorman | Nurse Practitioner | 856 S White Horse Pike Unit 2, Hammonton, NJ 08037-2032 | 2020-05-27 |
| 1730738550 | Sarah Williston | Nurse Practitioner | 254b Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 | 2019-09-04 |
| 1194285346 | Sameh S Georgy | Nurse Practitioner | 17 Columbia Dr, Marlton, NJ 08053-3521 | 2019-03-22 |
| 1497211064 | Dana Paglia | Nurse Practitioner | 1230 Parkway Ave Ste 303, Ewing, NJ 08628-3018 | 2019-02-19 |
| 1407311830 | Kristi L Mulvey | Nurse Practitioner | 300 2nd Ave Ste Sh013, Long Branch, NJ 07740-6303 | 2019-02-11 |
| 1366916835 | Chelsea Laufer | Nurse Practitioner | 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080-9344 | 2019-01-17 |
| 1659860757 | Daniela A Moscarella | Nurse Practitioner | 300 Candlewood Cmns, Howell, NJ 07731-2170 | 2018-05-03 |
| 1265949655 | Teresa Marie Mahoney | Nurse Practitioner | 575 Route 28 Bldg B, Raritan, NJ 08869-1354 | 2018-01-07 |
| Find all providers with the same taxonomy | ||||
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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.