MS. JILL NYDAM (NPI# 1821587809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821587809 |
| Entity Type | Individual |
| Full Name | MS. JILL NYDAM |
| Credential | LPC |
| Practice Address |
30 Deer Run Ln Brick NJ 08724-4390 |
| Practice Telephone | 8484480416 |
| Mailing Telephone | 8484480416 |
| Enumeration Date | 2018-05-06 |
| Last Update Date | 2018-05-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
37PC00605100 | NJ | Behavioral Health & Social Service Providers |
| Street Address |
30 DEER RUN LN |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-4390 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619584588 | Amy Lynn Mcgowan | Counselor | 35 Beaverson Blvd., Bldg. 6, Suite A, Brick, NJ 08723-7812 | 2020-09-25 |
| 1588286322 | Elizabeth Millemann | Counselor | 205 Essex Dr, Brick, NJ 08723-6501 | 2020-05-14 |
| 1780219881 | Theodore Zaleski | Counselor | 212 Jack Martin Blvd Ste D2, Brick, NJ 08724-7771 | 2020-03-09 |
| 1962036590 | Linda Sykes | Counselor | 74 Brick Blvd Ste 206b, Brick, NJ 08723-7991 | 2020-02-22 |
| 1780231423 | Danielle Corcoran | Counselor | 1500 State Highway 88, Brick, NJ 08724-2320 | 2019-08-19 |
| 1023595188 | Rachel Gentry | Counselor | 74 Brick Blvd Bldg 4, Brick, NJ 08723-7984 | 2018-07-22 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1588172498 | Developing Wellness Therapy Group | Counselor | 321 Herbertsville Rd Ste 101, Brick, NJ 08724-1713 | 2018-01-12 |
| 1922453034 | Adelaide M King | Counselor | 113 Lindbergh Dr, Brick, NJ 08724-1861 | 2016-04-26 |
| 1922460872 | Lynne Stoll | Counselor | 145 Bay Harbor Blvd, Brick, NJ 08723-7912 | 2016-03-21 |
| Find all providers in BRICK | ||||
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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.