KAREN A BOCCHICCHIO (NPI# 1043555717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1043555717 |
Entity Type | Individual |
Full Name | KAREN A BOCCHICCHIO |
Other Name | KAREN A KELLY |
Credential | CRNP |
Practice Address |
1006 Mantua Pike Woodbury Heights NJ 08097-1228 |
Practice Telephone | 8568458600 |
Mailing Telephone | 8568458600 |
Enumeration Date | 2012-12-06 |
Last Update Date | 2013-03-14 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00402700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1006 MANTUA PIKE |
City | WOODBURY HEIGHTS |
State | NJ |
Zip Code | 08097-1228 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659808392 | Komal Yadav | Family Medicine | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2017-05-12 |
1952707358 | Wissahickon Hospice of Uphs | Hospice Care, Community Based | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2014-11-12 |
1366848988 | Laura Bomar | Physical Therapist | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2014-11-10 |
1497159032 | Angelique S Mason | Nurse Practitioner | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2014-10-10 |
1134562655 | Kathleen A Trow | Nurse Practitioner | 1006 Mantua Pike, Penn Medicine Woodbury Heights, Woodbury Heights, NJ 08096 | 2013-04-15 |
1104112168 | Stephanie Leigh Yellin | Family Medicine | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2011-06-28 |
1467764464 | Lauren Anne Jenkins | Obstetrics & Gynecology | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2010-07-07 |
1699909556 | Alejandra Giselle Borensztein | Internal Medicine | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2009-05-07 |
1952562381 | Johanna Kline-kim | Family Medicine | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2008-06-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891327656 | Ideal Home Healthcare | Home Health | 133 Wentz Ave, Woodbury Hts, NJ 08097 | 2020-02-10 |
1881246619 | Acenda, Inc. | Clinic/Center | 343 Glassboro Road, Bld B, Suite 102b, Woodbury Heights, NJ 08097 | 2019-07-11 |
1205347473 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 395 Lincoln Avenue, Woodbury Heights, NJ 08097 | 2017-10-16 |
1417467978 | Assoc. for Retarded Citizens, Inc. Goucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 300 Beech Avenue, Woodbury Heights, NJ 08097 | 2017-10-10 |
1356875942 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 319 King Street, Deptford, NJ 08097 | 2017-04-20 |
1710376538 | Rebecca Stpierre | Counselor | 548 Chestnut Avenue, Woodbury Heights, NJ 08097 | 2015-01-16 |
1699051565 | Eastern Dental of Woodbury Heights, LLC | Dentist | 1006 B Mantua Pike, Suite 1, Woodbury Heights, NJ 08097 | 2011-10-24 |
1790997088 | Roger T Barr | Psychologist | 488 N Glassboro Road, Woodbury Heights, NJ 08097 | 2007-05-07 |
1659311330 | Chiromed-21pc | Chiropractor | 880 Montua Pike, Unit C, Woodbury Heights, NJ 08097 | 2006-06-08 |
1962054791 | Acenda, Inc. | Community/Behavioral Health | 343 Glassboro Rd, Bldg B Suite 102a, Woodbury Heights, NJ 08097 | 2019-07-11 |
Find all providers in zip 08097 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497159032 | Angelique S Mason | Nurse Practitioner | 1006 Mantua Pike, Woodbury Heights, NJ 08097-1221 | 2014-10-10 |
1134562655 | Kathleen A Trow | Nurse Practitioner | 1006 Mantua Pike, Penn Medicine Woodbury Heights, Woodbury Heights, NJ 08096 | 2013-04-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
1861093221 | Giacomina Carmela Sorezza | Nurse Practitioner | 267 Betsy Ross Dr, Freehold, NJ 07728-4223 | 2020-11-03 |
1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
1093314015 | Olga Karpusyuk | Nurse Practitioner | 2 Wilson Lane, Metuchen, NJ 08840 | 2020-10-21 |
1447859848 | Eugenie Kottin Chetangie | Nurse Practitioner | 13 Rolling Rapids Ct, Hackettstown, NJ 07840-1736 | 2020-10-19 |
1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
1205434248 | Avraham Y Eisenman | Nurse Practitioner | 706 Passaic Ave, Clifton, NJ 07012-1847 | 2020-10-12 |
1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
Find all providers with the same taxonomy |
City | WOODBURY HEIGHTS |
Zip Code | 08097 |
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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.