MS. IMELDA N DEVERA-CAGADOC (NPI# 1073687760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073687760 |
| Entity Type | Individual |
| Full Name | MS. IMELDA N DEVERA-CAGADOC |
| Credential | NP |
| Practice Address |
268 Martin Luther King Jr Blvd Newark NJ 07102-2011 |
| Mailing Address |
Po Box 36 Roseland NJ 07068-0036 |
| Practice Telephone | 2015129494 |
| Mailing Telephone | 2015129494 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | NJ000899 | NJ | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6301703 | 05 |
| Street Address |
268 MARTIN LUTHER KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639174030 | Shuaib Akhtar | Anesthesiology | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2005-06-14 |
| 1588087530 | Doreen Lallo | Registered Nurse | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2014-01-28 |
| 1891090858 | Weight Loss Institute Inc | Specialist | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2011-01-21 |
| 1396922993 | Donna E Ryan | Physician Assistant | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2008-01-25 |
| 1457481954 | St Michaels Cardiology Associates | Internal Medicine | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2007-03-06 |
| 1356415913 | Vinayak D. Bodas | Pediatrics | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-17 |
| 1891872412 | Fayez Shamoon | Internal Medicine | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-11-01 |
| 1679583330 | J&j St Michaels Pharmacy Inc. | Pharmacy | 268 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-08-08 |
| 1306807938 | Roger Cooper | Specialist | 268 Martin Luther King Jr Blvd, St Michael Infectious Disease, Newark, NJ 07102-2011 | 2006-03-31 |
| 1679532287 | Jonathan Edward Goldstein | Specialist | 268 Martin Luther King Jr Blvd, 5th Floor, Newark, NJ 07102-2011 | 2006-03-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1639784564 | Janelle Bradway | Registered Nurse | 2803 Waters Edge Dr, Newark, DE 19702-6364 | 2020-09-08 |
| 1912527334 | Emilia Tata | Registered Nurse | 15 Prestbury Sq Ste 15, Newark, DE 19713-2608 | 2020-04-26 |
| 1780219709 | Edwina Kollie | Registered Nurse | 12 Montceau Dr, Newark, DE 19702-5532 | 2020-03-10 |
| 1063046811 | Cassandra A Boehning | Registered Nurse | 4745 Ogletown Stanton Rd Ste 105, Newark, DE 19713-2070 | 2020-03-02 |
| 1588298913 | Izevbuwa O. Edokpolor | Registered Nurse | 175 Newton St, Newark, NJ 07103-3074 | 2020-02-25 |
| 1508407206 | Heather Erin Sadik | Registered Nurse | 620 Stanton Christiana Rd Ste 304, Newark, DE 19713-2135 | 2019-10-03 |
| 1164073771 | Angela Addo | Registered Nurse | 680 Hunterdon St, Newark, NJ 07108-1806 | 2019-09-25 |
| 1962961052 | Jessica M Cushing | Registered Nurse | 4755 Ogletown Stanton Rd Fl 2, Newark, DE 19718-2151 | 2019-03-18 |
| 1558834069 | Queenshade LLC | Registered Nurse | 727 S 19th St, Newark, NJ 07103-1032 | 2019-01-08 |
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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.