BASILISA PACHECO (NPI# 1790023570) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790023570 |
| Entity Type | Individual |
| Full Name | BASILISA PACHECO |
| Credential | ANP-BC |
| Practice Address |
205 Browertown Rd Suite 202 Woodland Park NJ 07424-2671 |
| Practice Telephone | 9737857515 |
| Mailing Telephone | 9737857515 |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2013-03-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NO12217900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
205 BROWERTOWN RD SUITE 202 |
| City | WOODLAND PARK |
| State | NJ |
| Zip Code | 07424-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699116392 | New Jersey Travel Clinic, LLC | Internal Medicine | 205 Browertown Rd, Suite #202, Woodland Park, NJ 07424-2671 | 2013-07-10 |
| 1134448178 | Woodland Park Pediatrics PC | Pediatrics | 205 Browertown Rd, Suite 001, Woodland Park, NJ 07424-2671 | 2010-05-28 |
| 1710167184 | Nadia Mohsin Razzak | Pediatrics | 205 Browertown Rd, Suite 001, Woodland Park, NJ 07424-2671 | 2007-11-13 |
| 1063618908 | Matthew Aaron Grossman | Internal Medicine | 205 Browertown Rd, Suite 204, Woodland Park, NJ 07424-2671 | 2007-06-26 |
| 1366595308 | Jeffrey Ruggiero | Dentist | 205 Browertown Rd, Suite 004, Woodland Park, NJ 07424-2671 | 2007-01-22 |
| 1265463830 | Northeastern Spinal Health and Rehabilitation LLC | Chiropractor | 205 Browertown Rd, Suite 106, Woodland Park, NJ 07424 | 2006-07-05 |
| 1083640627 | Mannan Razzak | Pediatrics | 205 Browertown Rd, Suite 001, Woodland Park, NJ 07424-2671 | 2006-06-24 |
| 1205883600 | Michael Roman Czupak | Chiropractor | 205 Browertown Rd, Suite 106, Woodland Park, NJ 07424-2671 | 2006-05-30 |
| 1497701981 | Emily Anna Stoppiello-czupak | Chiropractor | 205 Browertown Rd, Suite 106, Woodland Park, NJ 07424-2671 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316502438 | Daniel E Brito | Licensed Practical Nurse | 163 E Main St 2nd Floor, Little Falls, NJ 07424 | 2019-05-03 |
| 1073008041 | Liza Imperial | Registered Nurse | 188 Newark Pompton Turnpike, Little Falls, NJ 07424 | 2018-06-22 |
| 1770962326 | Matthew Schinelli | Kinesiotherapist | 661 Upper Mountain Avenue, Little Falls, NJ 07424 | 2015-05-28 |
| 1003247073 | Parabolic Performance & Rehabilitation Little Falls LLC | Clinic/Center | 28 Clove Rd, Floyd Hall Arena, Little Falls, NJ 07424 | 2013-12-02 |
| 1013351675 | Natasha Chhabra | Internal Medicine | 1031 Mcbride Avenue, Suite D212, Woodland Park, NJ 07424 | 2013-04-24 |
| 1487903043 | Mali Desantis | Speech-Language Pathologist | 156 Haverhill Ave, Woodland Park, NJ 07424 | 2012-08-29 |
| 1043452014 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 228 Browertown Rd, Little Falls, NJ 07424 | 2009-04-06 |
| 1366640815 | For The Love of Life Inc | Chiropractor | 603 Lackawanna Avenue, West Paterson, NJ 07424 | 2007-07-06 |
| 1134326374 | Kimberly Physical Therapy | Physical Therapist | 153 Route 23, Little Falls, NJ 07424 | 2007-06-29 |
| 1467673483 | Jeanne M. Kilroy | Nurse Practitioner | 275 Patterson Avenue, 1st Floor, Little Falls, NJ 07424 | 2007-05-01 |
| Find all providers in zip 07424 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND PARK |
| Zip Code | 07424 |
Please comment or provide details below to improve the information on BASILISA PACHECO.
| 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.