JUSTIN K. WILSON (NPI# 1801337944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801337944 |
| Entity Type | Individual |
| Full Name | JUSTIN K. WILSON |
| Credential | MSN, MPA, NP-C |
| Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Practice Telephone | 9739267908 |
| Practice Fax Number | 9739238993 |
| Mailing Telephone | 9739267908 |
| Mailing Fax Number | 9739238993 |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00674200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285021071 | Justin Alan Wilson | Specialist/Technologist, Other | 1015 E 32nd Street Suite 101, Austin, TX 78705 | 2015-04-20 |
| 1093138141 | Justin Adam Wilson | Registered Nurse | 2815 Sherbourne Ave, A, Nashville, TN 37204-2641 | 2014-01-27 |
| 1316249493 | Justin Andrew Wilson | Military Health Care Provider | 1st Marine Special Operations Battalion, Medical Department, Camp Pendleton, CA 92055-5341 | 2010-11-23 |
| 1447202098 | Justin Wilson | Physical Therapist | 1580 N Fiesta Blvd, Suite 102, Gilbert, AZ 85233-1032 | 2006-05-16 |
| 1831161850 | Justin B. Wilson | Internal Medicine | 59 Koch Ave, Morris Plains, NJ 07950-4400 | 2006-02-03 |
| 1861487340 | Justin Blake Wilson | Pharmacist | 1212a S Douglas Blvd, Midwest City, OK 73130-5213 | 2005-09-12 |
| 1275165615 | Justin Wilson | Counselor | 15544 S Clackamas River Dr, Oregon City, OR 97045-9490 | 2020-02-04 |
| 1679117428 | Justin Wilson | Chiropractor | 1637 S Market Blvd, Chehalis, WA 98532-3826 | 2019-11-05 |
| 1003472739 | Justin Wilson | Counselor | 3125 E 7th St, Long Beach, CA 90804-4932 | 2019-05-17 |
| 1417420704 | Justin Wilson | Nurse Practitioner | 408 Clark St Ne, Cullman, AL 35055-1953 | 2019-01-09 |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
| Find all providers in the same location | ||||
| 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 | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972133254 | Shazam Bacchus | Nurse Practitioner | 459 N 7th St Fl 1, Newark, NJ 07107-3743 | 2020-01-24 |
| 1619271962 | Pamela N Poad | Nurse Practitioner | 2 Warner Ct, Newark, DE 19711-2346 | 2010-12-30 |
| 1538772165 | Monica Yvette Johnson | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2020-08-24 |
| 1124650387 | Hyoeun Kim | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-02-06 |
| 1700431525 | Jacqueline Busch | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2019-08-08 |
| 1164994521 | Hannah Twumwaa | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2018-12-26 |
| 1942708698 | Tameka S Villa | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2018-01-29 |
| 1912265380 | Maura Ellen Hinckle | Nurse Practitioner | 1 Centurian Dr, Newark, DE 19713-2137 | 2012-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
| 1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
| 1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
| 1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
| 1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
| 1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
| 1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
| 1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
| 1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
| 1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
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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.