JANCY CIVICHAN (NPI# 1952897829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952897829 |
| Entity Type | Individual |
| Full Name | JANCY CIVICHAN |
| Practice Address |
258 N New Rd Pleasantville NJ 08232 |
| Mailing Address |
258 N New Rd Pleasantville NJ 08232-2170 |
| Practice Telephone | 7327435910 |
| Practice Fax Number | 7329946993 |
| Mailing Telephone | 7327435910 |
| Mailing Fax Number | 7329946993 |
| Enumeration Date | 2018-07-03 |
| Last Update Date | 2018-11-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WG0600X |
Registered Nurse Specialization: Gerontology |
26NJ00812700 | NJ | Nursing Service Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00812700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | STATE LICENSE | 26NJ00812700 | 01 |
| Street Address |
258 N NEW RD |
| City | PLEASANTVILLE |
| State | NJ |
| Zip Code | 08232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790746725 | Zubeda I Rajput | Internal Medicine | 258 N New Rd, Pleasantville, NJ 08232 | 2006-03-29 |
| 1710305800 | Medexcel LLC | Internal Medicine | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2014-04-04 |
| 1760711006 | Rosemarie Zantua | Nurse Practitioner | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2009-12-16 |
| 1881844041 | Medcom Health Services, LLC | Internal Medicine | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2008-09-24 |
| 1174653935 | Kathleen E Hass | Spec/Tech, Cardiovascular | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2007-03-07 |
| 1932120615 | Sujood Ahmed | Internal Medicine | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2006-07-21 |
| 1558388215 | Karen Amelung | Internal Medicine | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2006-07-17 |
| 1033155932 | Joy G. Jansson | Physician Assistant | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2006-06-21 |
| 1437197209 | Julianne Jackson | Physician Assistant | 258 N New Rd, Pleasantville, NJ 08232-2170 | 2006-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538533088 | Caringhouse Projects, Inc | Respite Care | 411b West Delilah Road, Pleasantville, NJ 08232 | 2015-11-20 |
| 1295108249 | Caringhouse Projects, Inc | Respite Care | 700 Franklin Blvd, Apt 601, Pleasantville, NJ 08232 | 2015-11-12 |
| 1205209251 | Caringhouse Projects, Inc | Respite Care | 411a West Delilah Road, Pleasantville, NJ 08232 | 2015-11-12 |
| 1215368568 | Priority Care Transport LLC | Non-emergency Medical Transport (VAN) | 590 W. Delilah Rd, Pleasantville, NJ 08232 | 2013-12-11 |
| 1053601773 | Bhavesh C Bhatt | Pharmacist | 855 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2011-04-14 |
| 1407158694 | Tricare Medical Transportation, LLC | Ambulance | 825 Noahs Road, Pleasantville, NJ 08232 | 2010-11-22 |
| 1174833495 | Laverne Graves-washington | Registered Nurse | 268 North New Rd., Pleasantville, NJ 08232 | 2010-10-20 |
| 1619284429 | Bhakti Chaudhari | Pharmacist | 855-857 North Main Street, Rite Aid Pharmacy, Pleasantville, NJ 08232 | 2010-09-01 |
| 1013222546 | Pradip N Agrawal | Pharmacist | 505 Black Horse Pike, Pleasantville, NJ 08232 | 2010-08-09 |
| 1144533845 | Arnold Snyder | Pharmacist | 505 Blackhorse Pk, Pleasantville, NJ 08232 | 2010-07-22 |
| Find all providers in zip 08232 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134609373 | Christine Salandra | Nurse Practitioner | 6 Tanglewood Rd, Pleasantville, NY 10570-2527 | 2018-08-17 |
| 1871914218 | Lisa Savio-santander | Nurse Practitioner | 50 Bedford Rd, Pleasantville, NY 10570-1022 | 2014-01-03 |
| 1427658020 | Cathy Anderson | Nurse Practitioner | 1004 S New Rd, Pleasantville, NJ 08232-3730 | 2020-11-01 |
| 1376944561 | Elizabeth Kroliczak Lewis | Nurse Practitioner | 8025 Black Horse Pike Ste 501, Pleasantville, NJ 08232-2967 | 2014-09-08 |
| 1083712764 | Roxellen Anntoinette Auletto | Nurse Practitioner | 48 Ansley Blvd, Pleasantville, NJ 08232-3058 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTVILLE |
| Zip Code | 08232 |
Please comment or provide details below to improve the information on JANCY CIVICHAN.
| 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.