DYLAN NESSENSON (NPI# 1962920579) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962920579 |
| Entity Type | Individual |
| Full Name | DYLAN NESSENSON |
| Practice Address |
44 Branko Road Berkeley Heights NJ 07922 |
| Practice Telephone | (908) 868-3812 |
| Mailing Telephone | 9088683812 |
| Enumeration Date | 2017-09-04 |
| Last Update Date | 2017-09-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
44 BRANKO ROAD |
| City | BERKELEY HEIGHTS |
| State | NJ |
| Zip Code | 07922 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750807574 | Elite Care Physical Therapy PC | Physical Therapist | 10 Summit Ave Ste 6, Berkeley Heights, NJ 07922 | 2017-08-15 |
| 1124424619 | All Dental Arts PC | Dentist | 559 Plainfield Avenue, Berkeley Heights, NJ 07922 | 2014-11-10 |
| 1972871598 | Shivaji Gajanan Phadke | Pharmacist | 40 Holly Glen Lane North, Berkeley Heights, NJ 07922 | 2011-12-09 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1194983411 | Henry Peter Schwerner | Pediatrics | 115 Wentworth Drive, Berkeley Heights, NJ 07922 | 2008-05-23 |
| 1215158076 | Mark Durante | Dentist | 261 Springfield Avenue, Suite 203, Berkeley Heights, NJ 07922 | 2007-05-01 |
| 1306989785 | Gayle M Coakley | Marriage & Family Therapist | 230 Sherman Ave Ste 10, Berkeley Heights, NJ 07922 | 2007-02-15 |
| 1275670507 | Patrick Rafferty Smith | Chiropractor | 134 Snyder Avenue, Berkeley Heights, NJ 07922 | 2007-01-30 |
| 1447315015 | Barbara Schoenberg | Social Worker | 310 Springfield Ave, Suite 165, Berkeley Heights, NJ 07922 | 2006-12-26 |
| 1396831814 | Joseph Anton | Internal Medicine | 369 Springfield Avenue, Berkeley Heights, NJ 07922 | 2006-10-04 |
| Find all providers in zip 07922 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306467683 | Amanda Rose Matrone | Student in an Organized Health Care Education/Training Program | 137 Hillside Ave, Berkeley Heights, NJ 07922-1729 | 2020-04-28 |
| 1790162824 | Cassandra Niemela | Student in an Organized Health Care Education/Training Program | 4 Ridge Dr, Berkeley Heights, NJ 07922-2110 | 2015-04-27 |
| 1700249547 | Paola Reveco | Student in an Organized Health Care Education/Training Program | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2016-03-30 |
| 1396906871 | Marcelyn Coley | Student in an Organized Health Care Education/Training Program | 1 Diamond Hill Rd, Berkeley Heights, NJ 07922-2104 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1033710926 | Akshay Chaudhari | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm 4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1124629019 | Shweta Bhagvanbhai Chaudhary | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm No4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1851992150 | Samantha Dickson | Student in an Organized Health Care Education/Training Program | 304 David Ct, Mullica Hill, NJ 08062-1512 | 2020-11-03 |
| 1558960120 | Savannah Jane Potter | Student in an Organized Health Care Education/Training Program | 35 Old Ln, Towaco, NJ 07082-1229 | 2020-10-23 |
| 1528665247 | Famya Khan | Student in an Organized Health Care Education/Training Program | 8 Robin Cir, Princeton Junction, NJ 08550-2244 | 2020-10-06 |
| 1861009599 | Rachael Nicole Romer | Student in an Organized Health Care Education/Training Program | 19 Pinehurst Ct, Blackwood, NJ 08012-5585 | 2020-09-27 |
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| 1871109751 | Garrett Bruce Miller | Student in an Organized Health Care Education/Training Program | 28 E Cohawkin Rd, Clarksboro, NJ 08020-1344 | 2020-09-16 |
| 1861007130 | Melyssa Mera Mandelbaum | Student in an Organized Health Care Education/Training Program | 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | BERKELEY HEIGHTS |
| Zip Code | 07922 |
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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.