GRACE AMISTOSO (NPI# 1063848885) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063848885 |
| Entity Type | Individual |
| Full Name | GRACE AMISTOSO |
| Credential | APN |
| Practice Address |
Lock Bag & Woodbrige Ave E Jersey State Prison Attn Medical Dept Woodbridge NJ 07067 |
| Mailing Address |
Lockbag R E Jersey State Prison Attn Medical Dept Rahway NJ 07106 |
| Practice Telephone | 7324995010 |
| Mailing Telephone | 7323995010 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2013-09-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NC06249800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
LOCK BAG & WOODBRIGE AVE E JERSEY STATE PRISON ATTN MEDICAL DEPT |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154941656 | Christiana Thompson | Pharmacist | 515 Inman Avenue, Colonia, NJ 07067 | 2020-04-24 |
| 1679021893 | Jainisha Dudhia | Physical Therapist | 1250 Nj-27, Colonia Shopping Center, Colonia, NJ 07067 | 2016-09-16 |
| 1265894455 | April Lyn Goncalves | Physical Therapist | 18 Sherold Rd, Colonia, NJ 07067 | 2016-03-25 |
| 1417189911 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1303 Saint Georges Ave, Colonia, NJ 07067 | 2009-08-17 |
| 1699958389 | Vincent Colonna | Dentist | 602 Inman Avenue, Colonia, NJ 07067 | 2007-12-17 |
| 1679794937 | Tracy Lipson-beck | Dentist | 6 Morningside Road, Colonia, NJ 07067 | 2007-05-02 |
| 1992865141 | Wayne Epstein | Podiatrist | 1009 St. Georges Ave, Colonia, NJ 07067 | 2006-12-11 |
| 1629154521 | Adhara Mae V Ramirez | Physical Therapist | 1250 State Route 27, Colonia, NJ 07067 | 2006-10-31 |
| 1982709275 | Bio-medical Applications of New Jersey, Inc. | Clinic/Center | 1250 Route 27, Colonia, NJ 07067 | 2006-09-13 |
| 1972617058 | Nalin Panchal | Dentist | 795 Inman Ave, Colonia, NJ 07067 | 2006-08-18 |
| Find all providers in zip 07067 | ||||
| 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 |
|---|---|---|---|---|
| 1073500658 | Jeanne Moore | Nurse Practitioner | 2200 Tacketts Mill Dr, Woodbridge, Woodbridge, VA 22192-3012 | 2005-09-29 |
| 1104454842 | Karen Leigh Holdsworth | Nurse Practitioner | 2280 Opitz Blvd Ste 250, Woodbridge, VA 22191-3362 | 2020-03-30 |
| 1093353450 | Alexandra Peck | Nurse Practitioner | 14904 Jefferson Davis Hwy Ste 208, Woodbridge, VA 22191-3908 | 2019-12-17 |
| 1093370959 | Jaime Alease Stephenson | Nurse Practitioner | 1990 Old Bridge Rd Ste 201, Woodbridge, VA 22192-2383 | 2019-05-07 |
| 1154884641 | Theodora Claudette Robinson | Nurse Practitioner | 1954 Opitz Blvd, Woodbridge, VA 22191-3304 | 2019-04-11 |
| 1316432164 | Sonica Mahat | Nurse Practitioner | 2200 Opitz Blvd Ste 335, Woodbridge, VA 22191 | 2018-06-25 |
| 1396118204 | Yolim Moncada | Nurse Practitioner | 2200 Opitz Blvd Ste 355, Woodbridge, VA 22191-3340 | 2015-11-02 |
| 1952787996 | Michelle Marie Stockhaus | Nurse Practitioner | 2200 Opitz Blvd, Suite 335, Woodbridge, VA 22191-3321 | 2015-07-31 |
| 1598169872 | Scarlet Haven On Aging, LLC | Nurse Practitioner | 1346 Old Bridge Rd, Suite 100, Woodbridge, VA 22192-2743 | 2014-10-15 |
| 1992132310 | Betty Tasie | Nurse Practitioner | 12701 Marblestone Dr, Suite 130, Woodbridge, VA 22192-8325 | 2013-09-30 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 07067 |
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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.