MINI JIJO


Address: 884 South Springfield Ave, #39, Springfield, NJ 07081-3314
Phone: 9086352555

MINI JIJO (NPI# 1760741714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760741714
Entity Type Individual
Full Name MINI JIJO
Credential MS,APN-C
Practice Address 884 South Springfield Ave
#39
Springfield
NJ 07081-3314
Mailing Address 884 S Springfield Ave
#39
Springfield
NJ 07081-3314
Practice Telephone 9086352555
Mailing Telephone 9086352555
Enumeration Date 2012-05-11
Last Update Date 2012-05-11
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
26NJ00374400 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 884 SOUTH SPRINGFIELD AVE
#39
City SPRINGFIELD
State NJ
Zip Code 07081-3314

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1215472980 Kara S Jablonka, LLC Social Worker 28 Millburn Avenue (suite #7), Springfield, NJ 07081 2017-01-04
1467813188 Therapyworks LLC Health Maintenance Organization 74 Madison Terrace, Springfield, NJ 07081 2016-03-08
1942677893 Jody Fenelon Pharmacist 50 Lawrence Road, Springfield, NJ 07081 2015-08-26
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1790116424 Kara Simon Jablonka Social Worker 28 Millburn Ave (suite 7), Springfield, NJ 07081 2013-12-05
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316565989 Melanie Phillips Nurse Practitioner 140 W Main St Ste 100, Springfield, OH 45502-1369 2020-07-10
1649828120 Dareth Elizabeth Fowler Nurse Practitioner 709 Deerfield Trl, Springfield, OH 45503-7445 2019-08-28
1578824983 Daisy Seby Nurse Practitioner 86 Redwood Rd, Springfield, NJ 07081-2426 2012-06-01
1326218843 Laura Ann Reed Nurse Practitioner 30 W Mccreight Ave Ste 100, Springfield, OH 45504 2008-03-12
1669442182 Lisa Erickson Nurse Practitioner 2 Medical Center Dr Ste 301, Springfield, MA 01107-1298 2006-01-26
1225639131 Rachel M Carr Nurse Practitioner 3300 Main St, Springfield, MA 01107-1112 2020-11-06
1902411424 Samantha Gillespie Nurse Practitioner 1460 G St, Springfield, OR 97477-4112 2020-09-11
1649898065 Jaines Milagros Andrades Nurse Practitioner 2 Medical Center Drive, Suite 301, Springfield, MA 01107-1270 2020-07-13
1487288171 Pamela Lomeli Nurse Practitioner 319 E Madison St Ste 1f, Springfield, IL 62701-3118 2020-03-03
1093347890 Jacquelyn Nicole Feeley Nurse Practitioner 759 Chestnut St, Springfield, MA 01107-1619 2020-02-10
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Competitor

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City SPRINGFIELD
Zip Code 07081

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Dataset Information

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.

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