EVELYN TASHJIAN AMBROSE


Address: 249 University Ave, Rutgers University Health Services Rm 104, Newark, NJ 07102-1808
Phone: 9733535231

EVELYN TASHJIAN AMBROSE (NPI# 1891969374) 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) 1891969374
Entity Type Individual
Full Name EVELYN TASHJIAN AMBROSE
Credential ADVANCE PRACTICE NUR
Practice Address 249 University Ave
Rutgers University Health Services Rm 104
Newark
NJ 07102-1808
Practice Telephone 9733535231
Practice Fax Number 9733531390
Mailing Telephone 9733535231
Mailing Fax Number 9733531390
Enumeration Date 2008-04-16
Last Update Date 2008-04-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 364SA2200X Clinical Nurse Specialist
Specialization: Adult Health
26NN02749100 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 249 UNIVERSITY AVE
RUTGERS UNIVERSITY HEALTH SERVICES RM 104
City NEWARK
State NJ
Zip Code 07102-1808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740396514 Erin Carducci Pharmacist 249 University Ave, Newark, NJ 07102-1808 2006-08-22
1487193504 Rutgers University Community/Behavioral Health 249 University Ave, Newark, NJ 07102-1808 2017-02-22
1104236132 David Gay Student in an Organized Health Care Education/Training Program 249 University Ave, Newark, NJ 07102-1808 2014-04-29
1548506686 Rutgers, The State University of New Jersey Clinic/Center 249 University Ave, Blumenthal Hall, Room 104, Newark, NJ 07102-1808 2012-12-18
1366604308 Lynne S Logatto Nurse Practitioner 249 University Ave, Rutgers University Health Service, Newark, NJ 07102-1896 2008-07-01
1912178534 Christopher M Wainman Psychologist 249 University Ave, Room 101, Newark, NJ 07102-1808 2008-03-23
1689799892 Jose Devassy Pullockaran Pharmacist 249 University Ave, Room 104, Newark, NJ 07102-1808 2007-03-20
1801929286 Luisito Garcia De Jesus Internal Medicine 249 University Ave, Rm 104, Newark, NJ 07102-1808 2007-03-14
1124167580 Rutgers Pharmacy Newark Clinic/Center 249 University Ave, Newark, NJ 07102-1808 2007-02-05
1336240910 Rutgers Newark Campus Pharmacy Pharmacy 249 University Ave, Room 104, Newark, NJ 07102-1808 2006-09-26
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NPI Name Taxonomy Address Enumeration
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1396249264 Integrity, Inc Substance Abuse Rehabilitation Facility 49 Lincoln Park, Newark, NJ 07102 2018-03-23
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1992216527 Metropolitan Center for Human Services Psychologist 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 2017-10-23
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Taxonomy Information

Taxonomy Code 364SA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Clinical Nurse Specialist
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417140369 Georgiana Hart Clinical Nurse Specialist 58 Freeman St, Newark, NJ 07105-4005 2007-08-23
1053776419 Bridget Anne Remel Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2015-12-29
1538555008 Heather Panichelli Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 2015-04-12
1841559507 Teresa Lynn Panchisin Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 2012-05-15
1538476577 Meriam Loraine Dennie Clinical Nurse Specialist 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 2010-09-13
1871643304 Thomas C Rutan Clinical Nurse Specialist 90 Bergen St, Suite 7100, Newark, NJ 07103-2425 2007-01-10

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1003431693 Laurie Susan Stelmaski Clinical Nurse Specialist 1 Cooper Plz Bldg D408s, Camden, NJ 08103-1461 2020-06-10
1831671379 Mercedes Q Tobin Clinical Nurse Specialist 201 Laurel Heights Dr Uppr, Bridgeton, NJ 08302-3635 2018-08-31
1912433210 Elsa R Best Clinical Nurse Specialist 1402 85th St, North Bergen, NJ 07047-4308 2017-05-04
1184017469 Suk-ying Wang Clinical Nurse Specialist 3270 Route 27 Suite 1200, Kendall Park, NJ 08824 2015-03-11
1740620145 Radha Venkataramanan Clinical Nurse Specialist 324 Saint Mary St, Hillsdale, NJ 07642-1649 2013-06-28
1447695044 20 Clair Street Clinical Nurse Specialist 20 Clair St, Clifton, NJ 07013-2618 2013-05-08
1750625208 Jiao Li Clinical Nurse Specialist 8606 Hana Rd, Edison, NJ 08817-2005 2012-11-23
1932452703 Keith Strulowitz Clinical Nurse Specialist 100 Route 46 E Ste 204, Mountain Lakes, NJ 07046-1716 2012-10-18
1790038545 Cynthia Romero Bascara Clinical Nurse Specialist 527 River Ave., Fountainview Care Center, Lakewood, NJ 08701 2012-10-17
1962772665 Elyssa L Thaler Clinical Nurse Specialist 3822 River Road, C/o Miller Devro and Associates, Point Pleasant, NJ 08742-2067 2012-01-11
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Competitor

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City NEWARK
Zip Code 07102

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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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