VPC MEDSPA 1 LLC (NPI# 1841813995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841813995 |
| Entity Type | Organization |
| Organization Name | VPC MEDSPA 1 LLC |
| Practice Address |
200 Closter Dock Rd Fl 2 Closter NJ 07624-1928 |
| Mailing Address |
26 Park St Ste 2058 Montclair NJ 07042-3443 |
| Practice Telephone | 2015647521 |
| Mailing Telephone | 2015647521 |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2020-05-24 |
| Authorized Official Name | VANESSA COPPOLA (OWNER) |
| Authorized Official Telephone | 2015647521 |
| Authorized Official Credential | A.P.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers |
| Other Name | Type Code |
|---|---|
| Bare Aesthetic | Doing Business As Name - Organization |
| Street Address |
200 CLOSTER DOCK RD FL 2 |
| City | CLOSTER |
| State | NJ |
| Zip Code | 07624-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233666 | Vanessa Coppola | Nurse Practitioner | 200 Closter Dock Rd Fl 2, Closter, NJ 07624-1928 | 2019-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336699321 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 29 Vervalen St, Closter, NJ 07624 | 2016-10-13 |
| 1114159175 | Family Counseling Center of Closter Nj Inc. | Community/Behavioral Health | Harrington Avenue and West Street, Closter, NJ 07624 | 2009-08-10 |
| 1366654360 | Byungtae Henry Kim | Dentist | 570 Piermont Rd., Closter, NJ 07624 | 2007-05-04 |
| 1780748566 | Dennis Chintala | Chiropractor | 273 Closter Dock Rd, Closter, NJ 07624 | 2006-12-19 |
| 1578677092 | Closter Dental PC | Dentist | 570 Piermont Rd, #c1, Closter, NJ 07624 | 2006-08-19 |
| 1154330876 | Niki Shabnam Mossaded | Dentist | 539 Durie Ave, Closter, NJ 07624 | 2006-08-05 |
| 1841215407 | Great Atlantic & Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 400 Demarest Ave, Closter, NJ 07624 | 2006-07-13 |
| 1427662394 | Trella Blythe Dolgin | Physical Therapist | 31 Vervalen St, Closter, NJ 07624 | 2020-09-08 |
| 1003204132 | Jennifer Anne Surak-zammitti | Social Worker | 294 Harrington Ave, Closter, NJ 07624 | 2014-12-23 |
| 1629246178 | Annette Kherlopian | Pharmacist | 400 Demarest Ave, Closter, NJ 07624 | 2008-02-19 |
| Find all providers in zip 07624 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233666 | Vanessa Coppola | Nurse Practitioner | 200 Closter Dock Rd Fl 2, Closter, NJ 07624-1928 | 2019-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on VPC MEDSPA 1 LLC.
| 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.