MRS. NICOLE FABICO VALES-BUCKWALD (NPI# 1801069521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801069521 |
| Entity Type | Individual |
| Full Name | MRS. NICOLE FABICO VALES-BUCKWALD |
| Other Name | NICOLE VALES BUCKWALD |
| Credential | CPNP |
| Practice Address |
5301 Broadway West New York NJ 07093-2622 |
| Mailing Address |
12 Mattben Dr Warren NJ 07059-7142 |
| Practice Telephone | 2018669320 |
| Practice Fax Number | 2018667588 |
| Mailing Telephone | 9084200528 |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2019-02-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NN08808600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NJ APRN LICENSE | 26NN08808600 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 261 James St Ste 1g, Morristown, NJ 079606348 | 9735409393 | 9735401937 |
| Street Address |
5301 BROADWAY |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306810213 | Debra Roma-distefano | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2006-02-15 |
| 1407466048 | Patricia Mary Boyce | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-08-07 |
| 1215567409 | Danny Tamayo | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-01-16 |
| 1912545112 | Elizabeth Sasso-karelitsky | Dietitian, Registered | 5301 Broadway, West New York, NJ 07093-2622 | 2019-12-18 |
| 1952954398 | Kassandra Lynn Kayal | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-07-23 |
| 1124591052 | Jacquelyn S Stathis | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-01-03 |
| 1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
| 1871929885 | Ololade F Akinronbi | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2013-09-23 |
| 1891049490 | Velma Asneth Frasier | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-11-04 |
| 1265707863 | Lybia Burgos | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
| 1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
| 1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
| 1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
| 1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
| 1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
| Find all providers in zip 07093 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700196383 | Veronica Dasilva | Nurse Practitioner | 431 60th Street, West New York, NJ 07093 | 2010-10-15 |
| 1588105910 | Robert Mmereole,llc | Nurse Practitioner | 6101 Kennedy Blvd E, Suite 1, West New York, NJ 07093-3902 | 2017-03-18 |
| 1083029656 | Paulina Mmereole | Nurse Practitioner | 6101 Kennedy Blvd E, Ste 1, West New York, NJ 07093-3902 | 2014-06-23 |
| 1720135593 | Jill Guzman | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2007-01-04 |
| 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 | ||||
| City | WEST NEW YORK |
| Zip Code | 07093 |
Please comment or provide details below to improve the information on MRS. NICOLE FABICO VALES-BUCKWALD.
| 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.