COREY SHERLOCK (NPI# 1790290187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790290187 |
| Entity Type | Individual |
| Full Name | COREY SHERLOCK |
| Credential | APN |
| Practice Address |
182 Lyons Ave Newark NJ 07112-2026 |
| Practice Telephone | 8882445373 |
| Mailing Telephone | 8882445373 |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2019-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NJ00781900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
182 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851598569 | Cathleen Cahill | Nurse Practitioner | 182 Lyons Ave, Newark, NJ 07112-2026 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432739 | Jessica Lynn Pajak | Nurse Practitioner | 875 Aaa Blvd Ste C, Newark, DE 19713-3624 | 2019-08-15 |
| 1366850547 | Amber Lewis | Nurse Practitioner | 4735 Ogletown-stanton Rd Map 2 Suite 1116, Newark, DE 19713 | 2014-07-31 |
| 1114124203 | Nancy C Whelan | Nurse Practitioner | 200 Lyons Ave, Building L-5 Pediatric Gastroenterology, Newark, NJ 07112-2026 | 2007-07-02 |
| 1851598569 | Cathleen Cahill | Nurse Practitioner | 182 Lyons Ave, Newark, NJ 07112-2026 | 2007-06-27 |
| 1497877260 | Elizabeth O'rourke Sweet | Nurse Practitioner | 501 Ogletown Rd, Hudson State Service Center, Child Health Clinic, Newark, DE 19711-5403 | 2007-04-04 |
| 1164569588 | Martha Coppage-lawrence | Nurse Practitioner | 2575 Glasgow Ave, Newark, DE 19702-4747 | 2007-02-01 |
| 1245216225 | Christine Louise Rudkin | Nurse Practitioner | University of Delaware Student Health Service, Laurel Hall, Newark, DE 19716-8108 | 2005-12-21 |
| 1013579598 | Debra J Brouwer | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-07-03 |
| 1407324403 | Bethany Sigley | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2018-11-07 |
| 1679050025 | Adrian Leibas | Nurse Practitioner | 1671 W Main St, Newark, OH 43055-1345 | 2018-07-27 |
| Find all providers in NEWARK | ||||
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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.