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).
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 |
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 |
Street Address |
249 UNIVERSITY AVE RUTGERS UNIVERSITY HEALTH SERVICES RM 104 |
City | NEWARK |
State | NJ |
Zip Code | 07102-1808 |
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 |
---|---|---|---|---|
1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
Find all providers in zip 07102 |
Taxonomy Code | 364SA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Clinical Nurse Specialist |
Specialization | Adult Health |
Definition to come... |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
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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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.