MRS. JENNIFER DEHM FITZGIBBONS (NPI# 1013129311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013129311 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER DEHM FITZGIBBONS |
| Credential | APRN |
| Practice Address |
67 Walnut Ave Clark NJ 07066-1640 |
| Mailing Address |
227 Laurel Rd Ste 300 Voorhees NJ 08043-8303 |
| Practice Telephone | 9737361100 |
| Practice Fax Number | 9737361134 |
| Mailing Telephone | 8566696050 |
| Mailing Fax Number | 8565283117 |
| Enumeration Date | 2007-05-07 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NN09993200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 340 Main St Ste 2, Madison, NJ 079402363 | 9737361100 | 9737361134 |
| 99 Beauvoir Avenue, Carol G. Simon Cancer Center, Summit, NJ 079013533 | 9086080078 | 9086081504 |
| Street Address |
67 WALNUT AVE |
| City | CLARK |
| State | NJ |
| Zip Code | 07066-1640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518962919 | Robert Alan Fuhrman | Internal Medicine | 67 Walnut Ave, Clark, NJ 07066-1640 | 2005-06-14 |
| 1922628155 | Theracare Managed Services, LLC | Social Worker | 67 Walnut Ave, Suite 105, Clark, NJ 07066-1640 | 2020-04-17 |
| 1104367523 | Hearing Health Pa LLC | Audiologist-Hearing Aid Fitter | 67 Walnut Ave, Suite 303, Clark, NJ 07066-1640 | 2017-03-18 |
| 1902181134 | Trinitas Regional Medical Center | Family Medicine | 67 Walnut Ave, Suite 202, Clark, NJ 07066-1640 | 2011-10-19 |
| 1669757217 | Trinitas Regional Medical Center | Internal Medicine | 67 Walnut Ave, Suite 202, Clark, NJ 07066-1640 | 2011-10-14 |
| 1891074944 | Divya Rajasekaran | Internal Medicine | 67 Walnut Ave, Clark, NJ 07066-1640 | 2011-08-08 |
| 1316062995 | Kenneth Y. Eng, M.d., P.a. | Ophthalmology | 67 Walnut Ave, Suite 302, Clark, NJ 07066-1640 | 2007-03-20 |
| 1760522163 | Susan Linda Frankel | Internal Medicine | 67 Walnut Ave, Clark, NJ 07066-1640 | 2007-02-07 |
| 1881731958 | Theracare of New Jersey LLC | Community/Behavioral Health | 67 Walnut Ave, Suite 306, Clark, NJ 07066-1640 | 2007-01-30 |
| 1174669626 | Theracare of New Jersey LLC | Community/Behavioral Health | 67 Walnut Ave, Suite 306, Clark, NJ 07066-1640 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491493 | Diane Juanita Pearson | Counselor | 49 Brant Ave Suit 3, Massler Psychological Associates, Clark, NJ 07066 | 2019-01-22 |
| 1356831754 | Christopher Dasilva | Physical Therapist | 77 Brant Avenue, Suite 101, Clark, NJ 07066 | 2018-05-11 |
| 1205350030 | City Medical of New Jersey, PC | Clinic/Center | Rarity Unit F4b, 1225 Raritan Road, Clark, NJ 07066 | 2017-08-02 |
| 1184150682 | Fyzical Therapy & Balance Center | Physical Therapist | 132-1 Westfield Ave, Clark, NJ 07066 | 2017-05-04 |
| 1164829826 | Adavanced Spine Rehabilitation LLC | Chiropractor | 1171 Old Raritan Rd, Clark, NJ 07066 | 2014-11-24 |
| 1083838395 | Stephen D Bosonac | Dentist | 979 Raritan Road, Clark, NJ 07066 | 2007-04-11 |
| 1972637965 | Jay Andrew Paris | Chiropractor | 67 Westfield Ave, Clark, NJ 07066 | 2007-03-14 |
| 1821121484 | David Kinley Jr. | Acupuncturist | 668 Raritan Rd, Clark, NJ 07066 | 2007-03-13 |
| 1811036122 | Betty C Mclendon | Psychologist | 623 Raritan Road, Clark, NJ 07066 | 2007-02-05 |
| 1710039623 | Cornerstone Physical Therapy Inc | Physical Therapist | 152 Central Ave 2nd Floor, Clark, NJ 07066 | 2007-01-18 |
| Find all providers in zip 07066 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043780802 | Tracey Coleman | Nurse Practitioner | 152 Central Ave, Clark, NJ 07066-1115 | 2018-12-04 |
| 1083126064 | Kristen Ashley Chou | Nurse Practitioner | 152 Central Ave, Clark, NJ 07066-1115 | 2017-10-30 |
| 1659725737 | Patricia Aponte | Nurse Practitioner | 100 Commerce Pl, Clark, NJ 07066-1302 | 2016-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| 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.