ANTONELLA F VITERBO (NPI# 1760698617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760698617 |
| Entity Type | Individual |
| Full Name | ANTONELLA F VITERBO |
| Credential | MS,PA-C |
| Practice Address |
150 E Kennedy Blvd Lakewood NJ 08707 |
| Mailing Address |
20 Maxim Court Jackson NJ 08527 |
| Practice Telephone | 7323640515 |
| Practice Fax Number | 7323646006 |
| Mailing Telephone | 2155846731 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2010-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00178900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | COMMERCIAL INSURANCES | 223777917 | 01 |
| Street Address |
150 E KENNEDY BLVD |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467566208 | Emanuel G Kuflik | Dermatology | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-18 |
| 1285748897 | Mark A Mazak | Physician Assistant | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-19 |
| 1073627618 | Michael F Giordano | Physician Assistant | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-19 |
| 1578677118 | Rachel J Schoeffling | Physician Assistant | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-19 |
| 1952415705 | Avery S Kuflik | Dermatology | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-18 |
| 1295849065 | Julianne H Kuflik | Dermatology | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-18 |
| 1699889469 | Sheri L Emma | Dermatology | 150 E Kennedy Blvd, Lakewood, NJ 08701-1345 | 2006-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215982 | Sokbunntha Yan | Dental Hygienist | 5810 Fidler Ave, Lakewood, CA 90712-1251 | 2020-11-06 |
| 1174124515 | Yitzchok Markovitz | Occupational Therapist | 96 Seminole Dr, Lakewood, NJ 08701-1152 | 2020-11-03 |
| 1538760863 | Bright Eyes Vision Clinic PC A Colorado Professional Corporation | Optometrist | 2020 Wadsworth Blvd Ste 11, Lakewood, CO 80214-5728 | 2020-11-03 |
| 1881294825 | Tcal2 | Assisted Living Facility | 1069 S Teller St, Lakewood, CO 80226-4554 | 2020-10-29 |
| 1336749373 | Tcal2 | Assisted Living Facility | 6419 W Mexico Ave, Lakewood, CO 80232-7055 | 2020-10-29 |
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1053911040 | Sara Kahan | Behavioral Analyst | 7 Burgundy Way, Lakewood, NJ 08701-4670 | 2020-10-28 |
| 1043810229 | Rae Marie Minear | Massage Therapist | 1075 S Yukon St Ste 340, Lakewood, CO 80226-4333 | 2020-10-28 |
| 1548860836 | Kirton Chiropractic LLC | Chiropractor | 6841 W Asbury Pl, Lakewood, CO 80227-2690 | 2020-10-27 |
| 1396345831 | Emily Newberger | Counselor | 777 S Wadsworth Blvd # 2-103a, Lakewood, CO 80226-4300 | 2020-10-26 |
| Find all providers in LAKEWOOD | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396345195 | Clarissa Rachael Flynn | Physician Assistant | 13795 W Kentucky Dr, Lakewood, CO 80228-3064 | 2020-10-29 |
| 1891394334 | Robert Clower | Physician Assistant | 285 Zang St Apt I2832, Lakewood, CO 80228-1032 | 2020-10-24 |
| 1639778277 | Lindsay Marie Schulz Mustard | Physician Assistant | 7293 W Kentucky Dr Apt B, Lakewood, CO 80226-4920 | 2020-10-24 |
| 1316552946 | Madelynn Lea Fretto | Physician Assistant | 101 Prospect St Ste 107, Lakewood, NJ 08701-5003 | 2020-09-10 |
| 1467075309 | Allison Mckinney | Physician Assistant | 1471 Newman Ave, Lakewood, OH 44107-5117 | 2020-05-27 |
| 1598392466 | Pauline Imelda Salguero | Physician Assistant | 4202 Maybank Ave, Lakewood, CA 90712-3910 | 2020-03-23 |
| 1033745096 | Kelsey Taylor Horton | Physician Assistant | 939 S Johnson Way, Lakewood, CO 80226-4043 | 2020-03-20 |
| 1700425154 | Mary Beth Jacobson | Physician Assistant | 2192 Lewis Dr, Lakewood, OH 44107-6141 | 2020-01-02 |
| 1023651908 | Molly Mclean | Physician Assistant | 7700 W Virginia Ave Unit B, Lakewood, CO 80226-3144 | 2019-10-23 |
| 1831743889 | Dov Berish Zeitman | Physician Assistant | 30 Serenity Way, Lakewood, NJ 08701-4060 | 2019-07-29 |
| Find all providers in LAKEWOOD | ||||
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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.