BRIANJRDUSTINANDREW (NPI# 1053603431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053603431 |
| Entity Type | Organization |
| Organization Name | BRIANJRDUSTINANDREW |
| Other Organization Name | BDA |
| Practice Address |
413 Salem Hancocks Bridge Rd Salem NJ 08079-9418 |
| Practice Telephone | 8569350427 |
| Practice Fax Number | 8569350427 |
| Mailing Telephone | 8569350427 |
| Mailing Fax Number | 8569350427 |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |
| Authorized Official Name | MRS. DAWN MICHELE HARRIS (OWNER/OPERATOR) |
| Authorized Official Telephone | 8569350427 |
| Authorized Official Credential | CNA/CHHA/EMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
26NH07335300 | NJ | Ambulatory Health Care Facilities |
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
NANJ0608042655 | NJ | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| bda | Other Name - Individual/Organization |
| Street Address |
413 SALEM HANCOCKS BRIDGE RD |
| City | SALEM |
| State | NJ |
| Zip Code | 08079-9418 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528350907 | Dawn Michele Harris | Home Health Aide | 413 Salem Hancocks Bridge Rd, Salem, NJ 08079-9418 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366005829 | Fresenius Medical Care Salem, LLC | Clinic/Center | 5 New Jersey Route 45, Salem, NJ 08079 | 2019-04-19 |
| 1750750071 | The Arc of Salem County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Salem Woodstown Rd, Salem, NJ 08079 | 2015-09-16 |
| 1730347964 | Josephine M Santiago | Registered Nurse | 310 Woodstown Rd., Salem, NJ 08079 | 2008-05-23 |
| 1033394895 | Samia Fatima Mian | Internal Medicine | 5 Route 45 Ste 101, Mannington, NJ 08079 | 2007-12-28 |
| 1619165891 | Fouad K. Michail | Ophthalmology | 330 Salem Woodstown Rd Rt 45, Suite 5, Salem, NJ 08079 | 2007-10-12 |
| 1205058567 | Maryville, Inc. | Clinic/Center | 567 Salem-quinton Rd, Salem, NJ 08079 | 2007-05-03 |
| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
| 1346378213 | Cooper Pediatrics | Pediatrics | 330 Woodstown Road., Medical Arts Bldg 7, Salem, NJ 08079 | 2007-03-01 |
| 1932256278 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd., Salem, NJ 08079 | 2007-01-05 |
| 1285725713 | The Surgery Center of Salem County LLC | Clinic/Center | 336 Woodstown Rd, Salem, NJ 08079 | 2006-09-28 |
| Find all providers in zip 08079 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
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|---|---|---|---|---|
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| 1649399486 | Womens Health Providers LLC | Clinic/Center | 330 Salem Woodstown Road, Suite#6, Salem, NJ 08079 | 2007-03-29 |
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| 1710407432 | Activate Healthcare - Salem Clinic | Clinic/Center | 201 Jeans Dr, Salem, IN 47167-9200 | 2017-06-23 |
| 1982092276 | Earth-moon Acupuncture, Inc. | Clinic/Center | 2365 Grear St Ne, Salem, OR 97301-2747 | 2015-01-08 |
| 1639503253 | Salem Travel Clinic, LLC | Clinic/Center | 2720 Commercial St Se, Suite 201, Salem, OR 97302-4495 | 2013-08-30 |
| 1184999377 | Family Focus Eye Care LLC | Clinic/Center | 3400 State St Ste G770, Salem, OR 97301-7014 | 2012-03-20 |
| 1235454455 | Salem Brain & Spine, LLC | Clinic/Center | 700 Bellevue St Se, Suite 245, Salem, OR 97301-3819 | 2010-03-31 |
| 1053541938 | Cmcdonough Chiropractic, LLC | Clinic/Center | 358 Superior St Se, Suite 100, Salem, OR 97302-5170 | 2009-07-25 |
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| 1134760754 | Medisure Inc. | Clinic/Center | 2310 Inverness Dr, Toms River, NJ 08753-6313 | 2019-10-04 |
| 1477012698 | Health and Integrative Wellness LLC | Clinic/Center | 59 E Mill Rd Ste 201-1, Long Valley, NJ 07853-6215 | 2019-03-18 |
| 1093289852 | Idama Healthcare | Clinic/Center | 4 S Orange Ave Suite 253, South Orange, NJ 07079-1702 | 2019-01-15 |
| 1992278709 | Dr David Bee and Associates LLC | Clinic/Center | 1304 Route 47 Unit M, Rio Grande, NJ 08242-1399 | 2019-01-03 |
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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.