RACHAEL THERESA DETORE


Address: 10 Wyckoff Ct, Asbury, NJ 08802-1091
Phone: 9085379794

RACHAEL THERESA DETORE (NPI# 1982154589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1982154589
Entity Type Individual
Full Name RACHAEL THERESA DETORE
Practice Address 10 Wyckoff Ct
Asbury
NJ 08802-1091
Practice Telephone 9085379794
Mailing Telephone 9085379794
Enumeration Date 2016-10-06
Last Update Date 2016-10-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 10 WYCKOFF CT
City ASBURY
State NJ
Zip Code 08802-1091

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1972972164 National Mentor Healthcare, LLC Residential Treatment Facility, Emotionally Disturbed Children 509 Mine Road, Bethlehem Township, NJ 08802 2015-09-18
1124347042 Mary D Mcgarvey Social Worker 452 Mine Road, Asbury, NJ 08802 2010-05-18
1316137748 Sher Institute for Reproductive Medicine Obstetrics & Gynecology 171 State Route 173, Ste 301, Asbury, NJ 08802 2007-08-01
1548617913 Lisa Smith Pharmacist 15 Inscho Rd, Asbury, NJ 08802-1044 2016-05-16
1154502359 Stars & Stripes Medical Equipment, Inc. Durable Medical Equipment & Medical Supplies 1091 State Route 173, Asbury, NJ 08802-1126 2007-11-16
1548535438 Nancy L Douglass Counselor 191 W Portal Rd, Asbury, NJ 08802-1136 2012-03-12
1700112349 Pamela Eck Hutchison Physical Therapist 10 Willever Rd, Asbury, NJ 08802-1158 2009-11-01
1841257565 Joseph Michael Estacio Radiology 19 Old Schoolhouse Rd, Asbury, NJ 08802-1202 2006-04-27
1417394701 Christine Rehman Counselor 6 Fawn Way, Asbury, NJ 08802-1310 2013-05-28
1033597968 Kimberly Stricker Nurse Practitioner 700 Deerfield Ln, Asbury, NJ 08802-1317 2015-05-12
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and state

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
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Competitor

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City ASBURY
Zip Code 08802

Improve Information

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Dataset Information

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.

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