CHRIS MOTAVALLI (NPI# 1962640912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962640912 |
| Entity Type | Individual |
| Full Name | CHRIS MOTAVALLI |
| Credential | PA-C |
| Practice Address |
1945 Route 33 Neptune NJ 07753-4859 |
| Mailing Address |
29 Brook Rd Howell NJ 07731-8675 |
| Practice Telephone | 7327755500 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00213000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1945 ROUTE 33 |
| City | NEPTUNE |
| State | NJ |
| Zip Code | 07753-4859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700880069 | Jonathan Havens Briggs | Radiology | 1945 Route 33, Neptune, NJ 07753-4859 | 2005-06-02 |
| 1811597701 | Hmh Hospitals Corporation | Psychiatry & Neurology | 1945 Route 33, Neptune, NJ 07753 | 2020-10-29 |
| 1548882301 | Nicole Tavernier | Student in an Organized Health Care Education/Training Program | 1945 Route 33, Neptune, NJ 07753 | 2020-05-14 |
| 1396383485 | Danielle Nicole Krywinski | Nurse Practitioner | 1945 Route 33, Neptune, NJ 07753 | 2019-12-19 |
| 1508402561 | Erica Leah Camhi | Nurse Anesthetist, Certified Registered | 1945 Route 33, Neptune, NJ 07753 | 2019-11-25 |
| 1992261804 | Ana M Claro | Counselor | 1945 Route 33, Neptune, NJ 07753 | 2019-02-15 |
| 1659845253 | Christian Waga | Nurse Anesthetist, Certified Registered | 1945 Route 33, Neptune, NJ 07753-0883 | 2019-01-16 |
| 1053894022 | Hmh Hospitals Corporation | Psychiatric Unit | 1945 Route 33, Neptune, NJ 07753-4859 | 2018-09-14 |
| 1033600499 | Jenna Peplinski | Student in an Organized Health Care Education/Training Program | 1945 Route 33, Neptune, NJ 07753 | 2018-05-22 |
| 1477040855 | Matthew William Lezzo | Nurse Anesthetist, Certified Registered | 1945 Route 33, Neptune, NJ 07753 | 2018-04-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
| 1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
| 1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
| 1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
| 1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
| 1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
| 1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
| 1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
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| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720164759 | Richard D Hulse | Physician Assistant | 1944 State Highway 33, Jersey Shore University Medical Center, Neptune, NJ 07754 | 2006-10-31 |
| 1932689486 | Briana Marie Miller | Physician Assistant | 19 Davis Ave Fl 1, Neptune, NJ 07753-4488 | 2018-08-15 |
| 1982123469 | Bijal Parmar | Physician Assistant | 3700 Route 33, Neptune, NJ 07753-3268 | 2017-09-15 |
| 1326466129 | Sarina Molinari | Physician Assistant | 1944 Route 33, Suite 202, Neptune, NJ 07753-4862 | 2014-03-31 |
| 1902182819 | Moira Dorothea Stanley | Physician Assistant | 1945 State Route 33, Neptune, NJ 07753-4859 | 2011-10-25 |
| 1770870875 | Jennifer Marie Williams | Physician Assistant | 1945 Route 33, Neptune, NJ 07753-4859 | 2011-07-09 |
| 1194048728 | Alexa Yavorsky | Physician Assistant | 1945 Route 33, Neptune, NJ 07753-4859 | 2010-03-10 |
| 1710218292 | Ashley Ruth Fister | Physician Assistant | 1945 Route 33, Neptune, NJ 07753-4859 | 2010-01-22 |
| 1013086818 | Dean Barone | Physician Assistant | 3700 Route 33, 2nd Floor Suite B, Neptune, NJ 07753 | 2006-11-07 |
| 1356354666 | John R. Larson | Physician Assistant | 1945 State Route 33, Neptune, NJ 07753-4859 | 2006-08-15 |
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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.