RAENA KIDANGAN (NPI# 1851766364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851766364 |
| Entity Type | Individual |
| Full Name | RAENA KIDANGAN |
| Credential | NP-C |
| Practice Address |
34 Woodland Rd 1st Floor Bloomfield NJ 07003-5212 |
| Practice Telephone | 9738183664 |
| Mailing Telephone | 9738183664 |
| Enumeration Date | 2015-12-09 |
| Last Update Date | 2015-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00602100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
34 WOODLAND RD 1ST FLOOR |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-5212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750814190 | Christine Hyuna Chung | Nurse Practitioner | 590 Bloomfield Ave, Suite 127, Bloomfield, NJ 07003-2510 | 2017-04-04 |
| 1386078558 | Yrlande Simon | Nurse Practitioner | 68 Willow St, Bloomfield, NJ 07003-3216 | 2013-08-24 |
| 1174571335 | June Mayer | Nurse Practitioner | 255 Broad St, Bloomfield, NJ 07003-2724 | 2006-05-04 |
| 1760948178 | Mallory Katelyn Benkert | Nurse Practitioner | 533 Cottage Grove Rd, Bloomfield, CT 06002-3155 | 2019-02-11 |
| 1457833006 | Melissa Eve Mckay | Nurse Practitioner | 382 W Passaic Ave, Bloomfield, NJ 07003-5552 | 2018-08-30 |
| 1609326123 | Kimberly Pappas | Nurse Practitioner | 100 N Church St, Unit C, Bloomfield, NM 87413-5754 | 2016-10-07 |
| 1902254725 | Natalie M Cooper | Nurse Practitioner | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2016-06-02 |
| 1962812602 | Sherlaine Baas | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-05-03 |
| 1164848297 | Savita Doobay | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-03-13 |
| 1760768477 | Gail Loihle Baglione | Nurse Practitioner | 30 State St, Bloomfield, NJ 07003-2529 | 2011-10-26 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
Please comment or provide details below to improve the information on RAENA KIDANGAN.
| 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.