MR. KARL WILLIAM MEDLEY SR. (NPI# 1982154837) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982154837 |
| Entity Type | Individual |
| Full Name | MR. KARL WILLIAM MEDLEY SR. |
| Credential | M.ED. |
| Practice Address |
330 Federal St. Camden County Dept. of Corrections- Second Chance Camden NJ 08102 |
| Mailing Address |
6105 Pleasant Ave. Pennsauken NJ 08110 |
| Practice Telephone | 8565805733 |
| Practice Fax Number | 8562257650 |
| Mailing Telephone | 8565805733 |
| Mailing Fax Number | 8562257650 |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | Other Service Providers |
| Street Address |
330 FEDERAL ST. CAMDEN COUNTY DEPT. OF CORRECTIONS- SECOND CHANCE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760992432 | Gracious Smiles, Inc. | Dentist | 121 Market St., Camden, NJ 08102 | 2017-10-06 |
| 1023445699 | Northeast Pain Management | Clinic/Center | 1 Market St. #1c, Camden, NJ 08102 | 2013-09-27 |
| 1235309915 | John D Holtsclaw | Specialist | 424 Market Street, Camden, NJ 08102 | 2008-03-10 |
| 1225207780 | Camcare Health Corporation | Clinic/Center | 6th and Erie Street, Camden, NJ 08102 | 2008-02-28 |
| 1376729681 | Dean J. Pulcini | Social Worker | 530 Cooper St., Costar Center, Camden, NJ 08102 | 2008-01-16 |
| 1760525489 | Rxd Pharmacy of Nj Inc | Pharmacy | 1805 Broadway, A&b Drugs, Camden, NJ 08102 | 2007-02-14 |
| 1114068236 | Lyda Cervantes Monte | Psychiatry & Neurology | 427 Market Street, Nueva Vida Behavioral Health Center of N.j., Camden, NJ 08102 | 2007-02-09 |
| 1316936479 | Natalya Kondratyeva | Dentist | 433 Market St Ste 102, Camden, NJ 08102 | 2005-10-20 |
| 1467806935 | Michael Waak | Social Worker | 330 Federal Street, Camden County Department of Corrections, Camden, NJ 08102 | 2016-04-20 |
| 1639408867 | Annmarie Panarello | Counselor | 326 Penn St, Camden, NJ 08102 | 2009-12-17 |
| Find all providers in zip 08102 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471491 | Mindright Health | Health Educator | 1 Washington Park Fl 7, Newark, NJ 07102-3122 | 2020-09-09 |
| 1043821432 | Simona Carputo | Health Educator | 10 Tremont Pl, Nutley, NJ 07110-3134 | 2020-08-11 |
| 1104434315 | Evenly Lewis | Health Educator | 455 Hillside Ave, Piscataway, NJ 08854-4748 | 2020-07-14 |
| 1609493436 | Morgan D Park | Health Educator | 621 Lloyd Rd, Aberdeen, NJ 07747-1302 | 2020-06-27 |
| 1679196323 | Linda Downey | Health Educator | 55 N Middaugh St, Somerville, NJ 08876-1830 | 2020-05-28 |
| 1003437401 | Roberta Rodrigues | Health Educator | 354 State St Ste 4, Hackensack, NJ 07601-5530 | 2020-04-27 |
| 1255966032 | Mara Campos | Health Educator | 477 Elm St, Kearny, NJ 07032-3513 | 2020-03-11 |
| 1013565969 | Judy Weinstein | Health Educator | 306 Pleasant Valley Rd, Mendham, NJ 07945-2955 | 2019-09-03 |
| 1881255362 | Maria Tabone | Health Educator | 5 Baltusrol Pl, Summit, NJ 07901-3303 | 2019-06-25 |
| 1003383936 | Jaquel Windbush | Health Educator | 1244 Thornton Ave, Plainfield, NJ 07060-2652 | 2018-10-29 |
| Find all providers with the same taxonomy | ||||
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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.