JESSICA LEIGH WOLKUN (NPI# 1952656787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952656787 |
| Entity Type | Individual |
| Full Name | JESSICA LEIGH WOLKUN |
| Credential | PA-C |
| Practice Address |
264 Boyden Ave Maplewood NJ 07040-3070 |
| Practice Telephone | 9737610764 |
| Mailing Telephone | 9737610764 |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00287300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
264 BOYDEN AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040-3070 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565887 | Dina Prus | Internal Medicine | 264 Boyden Ave, Empire Medical Group, Maplewood, NJ 07040-3070 | 2006-02-03 |
| 1417566498 | Matthew Parmar | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2020-07-27 |
| 1295380228 | Kathryn M Michelotti | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2019-08-06 |
| 1962951616 | Sandra Jeanne Thompson | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-09-22 |
| 1710344155 | Empire Surgical Assistants, LLC | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-01-15 |
| 1972975142 | Neiha, LLC | Internal Medicine | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-10-27 |
| 1043691736 | Empire Medical Urgentcare Center LLC | Clinic/Center | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-06-18 |
| 1063815173 | Marvelle Maloney | Obstetrics & Gynecology | 264 Boyden Ave, Maplewood, NJ 07040 | 2014-10-02 |
| 1518216274 | Heather Ann Sabol | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-09-10 |
| 1629209333 | Empire Medical Associates, PC | Internal Medicine | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2009-07-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790738003 | Anne-marie Perry | Physician Assistant | 1600 Saint Johns Blvd Ste 101, Maplewood, MN 55109-1190 | 2006-05-18 |
| 1851857627 | Ashley Marie Vold | Physician Assistant | 1575 Beam Ave, Maplewood, MN 55109-1126 | 2019-02-15 |
| 1710344155 | Empire Surgical Assistants, LLC | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-01-15 |
| 1699170209 | Madison L Palmer | Physician Assistant | 1580 Beam Ave, Maplewood, MN 55109-1127 | 2014-10-24 |
| 1205924156 | Ruth H Mcgowan | Physician Assistant | 2945 Hazelwood St Ste 100, Maplewood, MN 55109-1242 | 2006-10-10 |
| 1679596431 | Laura Ann Powers | Physician Assistant | 1737 Beam Ave, Maplewood, MN 55109-2185 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
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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.