WELL PATH, LLC.


Address: 110 Sylvan Ave, Gloucester City, NJ 08030-1634
Phone: 8564326257

WELL PATH, LLC. (NPI# 1841565801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841565801
Entity Type Organization
Organization Name WELL PATH, LLC.
Practice Address 110 Sylvan Ave
Gloucester City
NJ 08030-1634
Practice Telephone 8564326257
Practice Fax Number 8564321526
Mailing Telephone 8564326257
Mailing Fax Number 8564321526
Enumeration Date 2012-03-09
Last Update Date 2012-03-09
Authorized Official Name MS. DIANE T PALMER (SOLE PROPRIETER)
Authorized Official Telephone 8564326257
Authorized Official Credential MSN, APN
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SP0809X Clinical Nurse Specialist
Specialization: Psych/Mental Health, Adult
26NJ00012600 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 110 SYLVAN AVE
City GLOUCESTER CITY
State NJ
Zip Code 08030-1634

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NPI Name Taxonomy Address Enumeration
1144549395 Alvin Zeises Pharmacist 702 Browning Rd, Brooklawn, NJ 08030 2010-05-27
1750554382 Barry Kardos Psychologist 15 South Sussex St, Gloucester City, NJ 08030 2008-04-03
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1609090216 Andrew Edward Herman Chiropractor 357 Greenwood At Market, Gloucester City, NJ 08030 2007-04-13
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1386728814 New Jersey Cvs Pharmacy LLC Durable Medical Equipment & Medical Supplies 455 South Broadway, Gloucester City, NJ 08030 2006-10-24
1255420667 Katherine Penberthy Internal Medicine 430 S Broadway, Gloucester City, NJ 08030 2006-10-12
1457790263 Joann Colman Nurse Practitioner 1017 Market St, Gloucester, NJ 08030 2013-06-14
1568781979 Richard Stephan Rubin Pharmacist 702 Browning Rd, Brooklawn, NJ 08030 2010-05-25
1003327388 My Father's House, Inc Counselor Po Box 230, Gloucester City, NJ 08030-0230 2017-10-13
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Taxonomy Information

Taxonomy Code 364SP0809X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Psych/Mental Health, Adult

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1386119105 Nancy Cursi-vogle Clinical Nurse Specialist 16 Kayser Ln, West Orange, NJ 07052-1151 2018-10-08
1659543684 Karen Angela Maxim Clinical Nurse Specialist 314 East State Street, Trenton, NJ 08608 2008-03-31
1225229321 Wellness Group of New Jersey Clinical Nurse Specialist 400d Lake St, Suite 2, Ramsey, NJ 07446-1279 2007-08-05
1902027121 Sue Kujalowicz Clinical Nurse Specialist 1935 Axton Ave, Union, NJ 07083 2007-05-02
1326261819 Rosemarie G Marcus Clinical Nurse Specialist 240 Frisch Ct, Childrens Aid & Family Services Inc, Paramus, NJ 07652-5248 2007-04-11
1083762173 Carol Joan Goldblatt I Clinical Nurse Specialist 117-119 Roosevelt Ave, Plainfield, NJ 07060 2007-01-08
1932277241 Suzanne Drake Clinical Nurse Specialist 400 D Lake Street, Suite 2, Ramsey, NJ 07446-1243 2006-12-04
1740354554 Mary Ann Lancaster Clinical Nurse Specialist 500 North Bridge Street, Richard Hall Community Mental Health Center, Bridgewater, NJ 08807 2006-11-20
1720178999 Patricia Shadek Clinical Nurse Specialist 25 Lindsley Dr Ste 203, Morristown, NJ 07960 2006-10-16
1700970837 Kathleen Anne Nielsen Clinical Nurse Specialist 15 State Route 15, Lafayette, NJ 07848-2007 2006-10-03
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Competitor

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City GLOUCESTER CITY
Zip Code 08030

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Dataset Information

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.

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