SANTA CRISALL (NPI# 1952356149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952356149 |
| Entity Type | Individual |
| Full Name | SANTA CRISALL |
| Credential | RN |
| Practice Address |
495 N 13th St Newark NJ 07107-1317 |
| Mailing Address |
222 Kinderkamack Rd Oradell NJ 07649-2259 |
| Practice Telephone | 9732682492 |
| Mailing Telephone | 9732682492 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
NN71590 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8459908 | 05 |
| Street Address |
495 N 13TH ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386645208 | Pediatric Hospital Associates, P.a. | Pediatrics | 495 N 13th St, Newark, NJ 07107-1317 | 2005-08-02 |
| 1558826644 | Dynamic Physical Therapy and Sports Rehab At Newark | Physical Therapist | 495 N 13th St, Newark, NJ 07107-1317 | 2019-02-04 |
| 1669927513 | Northward Hospital Associates | Hospitalist | 495 N 13th St, Newark, NJ 07107-1317 | 2016-08-22 |
| 1386015204 | Sovereign Health of New Jersey | Substance Abuse Rehabilitation Facility | 495 N 13th St, Newark, NJ 07107-1317 | 2015-10-19 |
| 1508203878 | Columbus Hospital Ltach LLC | General Acute Care Hospital | 495 N 13th St, Newark, NJ 07107-1317 | 2013-05-28 |
| 1962741611 | Meridian Adult Day Care LLC | Clinic/Center | 495 N 13th St, Newark, NJ 07107-1317 | 2013-01-31 |
| 1124374772 | Columbus Ambulance Service LLC | Ambulance | 495 N 13th St, Newark, NJ 07107-1317 | 2012-08-01 |
| 1972860955 | A Plus Physicians LLC | Internal Medicine | 495 N 13th St, Newark, NJ 07107-1317 | 2012-04-16 |
| 1588941371 | Orphan Drug Professional Services LLC | Pharmacy | 495 N 13th St, Newark, NJ 07107-1317 | 2011-11-08 |
| 1003059536 | Mark Lister, M.d., Pa | Ophthalmology | 495 N 13th St, Newark, NJ 07107-1317 | 2009-04-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992211023 | Hanna Ramsburg | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste E1070, Newark, DE 19718-2200 | 2017-12-27 |
| 1689936080 | Joan Kinsey | Nurse Practitioner | 16 Polly Drummond Shpg Ctr, Newark, DE 19711-4861 | 2012-06-12 |
| 1407881014 | Rowena Ann Redmond | Nurse Practitioner | 703 East Maple Ave, Tymeson Building, Newark, NY 14513-9921 | 2006-07-11 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1730791468 | Susan Maria Karunphand | Nurse Practitioner | 213 Washington St, Newark, NJ 07102-2917 | 2020-08-24 |
| 1588224877 | Amanda Streeper | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2019-06-18 |
| 1265992416 | Mary Elias | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-22 |
| 1891200424 | Jamie Feinour | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 | 2017-12-05 |
| 1275052805 | Maria Rose Miranda | Nurse Practitioner | 156 Lyons Ave, Newark, NJ 07112-2016 | 2017-09-14 |
| 1831547587 | Lauren Holmes | Nurse Practitioner | 4755 Ogletown Stanton Rd, Suite 1e20, Newark, DE 19718-2200 | 2016-06-02 |
| 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.