PAULO JUAN BAGAYAS VERDEFLOR (NPI# 1831537372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831537372 |
| Entity Type | Individual |
| Full Name | PAULO JUAN BAGAYAS VERDEFLOR |
| Credential | APN |
| Practice Address |
2401 Stuyvesant Ave Trenton NJ 08628 |
| Mailing Address |
807 Lily Ln Ewing NJ 08638 |
| Practice Telephone | 6099846000 |
| Mailing Telephone | 7327444262 |
| Enumeration Date | 2013-06-06 |
| Last Update Date | 2020-07-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 26NJ00440500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00440500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2401 STUYVESANT AVE |
| City | TRENTON |
| State | NJ |
| Zip Code | 08628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
| 1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
| 1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
| 1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
| 1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
| 1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
| 1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
| 1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
| 1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
| Find all providers in zip 08628 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801440359 | Jeannette Oliveras | Nurse Practitioner | 218 North Broad St., Trenton, NJ 08609 | 2019-08-01 |
| 1790255941 | Susan Heather Lake | Nurse Practitioner | 1618 Riverside Drive, Trenton, NJ 08618 | 2018-11-30 |
| 1629432315 | Liqin Zhang | Nurse Practitioner | 2065 Klockner Rd., Trenton, NJ 08690 | 2016-04-08 |
| 1023447695 | Jerry Idiculla Chandy | Nurse Practitioner | 1675 Kingsway Ct Ste 1, Trenton, MI 48183-1958 | 2013-11-05 |
| 1346444239 | Carolyn Elaine Lewis-spruill | Nurse Practitioner | 218 N Broad St, Trenton, NJ 08608-1306 | 2007-06-13 |
| 1326010034 | David Bokor | Nurse Practitioner | 383 W State St, Trenton, NJ 08618-5705 | 2006-02-06 |
| 1043753502 | Staci Damiani | Nurse Practitioner | 1675 Kingsway Ct, Trenton, MI 48183-1958 | 2016-11-30 |
| 1326477084 | Laura Fodor | Nurse Practitioner | 3851 West Rd, Suite 2, Trenton, MI 48183-2350 | 2013-11-04 |
| 1619300456 | Michelle Bostic | Nurse Practitioner | 750 Brunswick Ave, Neuroscience Office, Trenton, NJ 08638-4143 | 2013-08-15 |
| 1235437831 | Lisa Ranea Dugas | Nurse Practitioner | 3700 West Rd, Trenton, MI 48183-2243 | 2011-03-05 |
| Find all providers in TRENTON | ||||
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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.