MR. CLAYTON IRVING BRIDGES JR. (NPI# 1962625210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962625210 |
| Entity Type | Individual |
| Full Name | MR. CLAYTON IRVING BRIDGES JR. |
| Credential | P.A.-C. |
| Practice Address |
43 Yawpo Ave Suite 3 Oakland NJ 07436-2714 |
| Practice Telephone | 2013379600 |
| Practice Fax Number | 2013375101 |
| Mailing Telephone | 2013379600 |
| Mailing Fax Number | 2013375101 |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2014-11-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00146300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
43 YAWPO AVE SUITE 3 |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-2714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093716359 | Noel Wiederhorn | Pediatrics | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2005-08-09 |
| 1407492879 | Monika K Niemiec | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-11-20 |
| 1548802739 | Shannon Morgan Linde | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2019-10-09 |
| 1144705328 | Kajal Gandhi | Internal Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2018-10-03 |
| 1346766094 | Sylvia Bucharowski | Nurse Practitioner | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2017-08-15 |
| 1215390083 | Taylor Shaker | Family Medicine | 43 Yawpo Ave, Oakland, NJ 07436-2714 | 2016-03-30 |
| 1669634333 | Perry Rogers Ricci | Chiropractor | 43 Yawpo Ave, Suite 6, Oakland, NJ 07436-2714 | 2008-06-25 |
| 1154502045 | John Hyung-il Lee | Emergency Medicine | 43 Yawpo Ave, Ste 2, Oakland, NJ 07436-2717 | 2007-11-19 |
| 1780734962 | Benjamin R Dispenziere | Obstetrics & Gynecology | 43 Yawpo Ave, Suite 4, Oakland, NJ 07436-2714 | 2007-01-11 |
| 1689738890 | Chong Yol Baik | Dentist | 43 Yawpo Ave, Suite 5, Oakland, NJ 07436 | 2006-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477504 | Julia Claire Stiefel | Physician Assistant | 369 Orange St Apt A, Oakland, CA 94610-2979 | 2020-11-05 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1245855527 | Susan Solar Pers | Physician Assistant | 5818 Clover Dr, Oakland, CA 94618-1623 | 2020-06-11 |
| 1790322253 | Reta Samimi | Physician Assistant | 47 Anair Way, Oakland, CA 94605-4873 | 2019-12-04 |
| 1316408453 | Henry Chhiv | Physician Assistant | 928 Franklin St Apt 535, Oakland, CA 94607-4207 | 2019-03-29 |
| 1427523893 | Sarah Jean Backer | Physician Assistant | 1 Lakeside Dr Apt 701, Oakland, CA 94612-4647 | 2018-10-11 |
| 1558845891 | Abigail Romero | Physician Assistant | 47 Agnes St, Oakland, CA 94618-2522 | 2018-09-22 |
| 1932604428 | Meegan Ann Mccullagh | Physician Assistant | 9 Pleasant St., Oakland, ME 04963 | 2018-03-27 |
| 1164937884 | Erin Shea Hays | Physician Assistant | 1411 E 31st St # K7, Oakland, CA 94602-1018 | 2017-12-04 |
| 1407369689 | Kristinalisa Maka | Physician Assistant | 363 41st St, Oakland, CA 94609-2632 | 2017-11-10 |
| Find all providers in OAKLAND | ||||
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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.