ANN BAG-AO (NPI# 1891007928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891007928 |
Entity Type | Individual |
Full Name | ANN BAG-AO |
Credential | ACNP |
Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
Mailing Address |
226 High Tor Dr Watchung NJ 07069-5413 |
Practice Telephone | 9739266530 |
Mailing Telephone | 9083776995 |
Enumeration Date | 2010-07-06 |
Last Update Date | 2010-07-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00290900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
201 LYONS AVE |
City | NEWARK |
State | NJ |
Zip Code | 07112-2027 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
Find all providers in zip 07112 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033674023 | Miguel Orlando Pedraja | Nurse Practitioner | 24 Jones St Apt 233, Newark, NJ 07103-3841 | 2019-02-05 |
1114479771 | Rozana Ally | Nurse Practitioner | 285 2nd Ave W, 2nd Floor, Newark, NJ 07107-2428 | 2016-10-31 |
1942603584 | Marlene Hall | Nurse Practitioner | 27 Ingraham Pl, Newark, NJ 07108-1415 | 2014-09-26 |
1073851754 | Anthony Deaton | Nurse Practitioner | 6456 Escallonia Dr, Newark, CA 94560-4724 | 2013-01-30 |
1427679299 | Krishna Gandhi | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-02 |
1275174997 | Andrew Lord Vincent | Nurse Practitioner | 200 Hygeia Dr Ste 1360, Newark, DE 19713-2049 | 2019-10-03 |
1578113189 | Natalie A Davidson | Nurse Practitioner | 1200 Driving Park Ave, Newark, NY 14513 | 2019-09-16 |
1306496377 | Ma. Cecilia De Jesus Lopez | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-09-12 |
1003460486 | Casey Yeonjoo Cho | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-07-24 |
1811477797 | Krista Lynette Jones | Nurse Practitioner | 2269 Cherry Valley Rd Se, Newark, OH 43055 | 2018-08-20 |
Find all providers in NEWARK |
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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.