KENNETH MADUEKE (NPI# 1083155808) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083155808 |
| Entity Type | Individual |
| Full Name | KENNETH MADUEKE |
| Practice Address |
404 Kings Ct Woodbridge NJ 07095 |
| Mailing Address |
404 Kings Ct Woodbridge NJ 07095-3860 |
| Practice Telephone | 8622358270 |
| Mailing Telephone | 8622358270 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00713300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
404 KINGS CT |
| City | WOODBRIDGE |
| State | NJ |
| Zip Code | 07095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427659770 | Anjali Gandhi | Physical Therapist | 767 St. Georges Avenue, Woodbridge, NJ 07095 | 2020-11-03 |
| 1720536139 | Orthosupply, LLC | Durable Medical Equipment & Medical Supplies | 10 Main Street Unit 177, Woodbridge, NJ 07095 | 2016-09-14 |
| 1841642048 | Rachel Marks | Optometrist | 161a Woodbridge Center Drive, Woodbridge, NJ 07095 | 2016-07-12 |
| 1003271214 | Parth Patel | Specialist | 581 Main Street, Woodbridge, NJ 07095 | 2015-12-15 |
| 1639541105 | Lisa Rasmussen | Speech-Language Pathologist | 1 St. Joseph Terrace, Woodbridge, NJ 07095 | 2015-10-23 |
| 1437584109 | Amanda Lynn Rotondo | Physical Therapist | 10 Woodbridge Center Dr., Suite 102, Woodbridge, NJ 07095 | 2013-09-12 |
| 1225460165 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 441 Woodbridge Center Drive, Woodbridge, NJ 07095 | 2013-08-02 |
| 1124368477 | Vista Rehab Services | Early Intervention Provider Agency | 185 Green Street, Woodbridge, NJ 07095 | 2013-02-25 |
| 1568748358 | Hasumati Patel | Pharmacist | 17 Green Street, Woodbridge, NJ 07095 | 2011-10-25 |
| 1255615571 | Vincent J Fusella Phd PC | Psychologist | One Woodbridge Center, Suite 505, Woodbridge, NJ 07095 | 2011-10-05 |
| Find all providers in zip 07095 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639797681 | Ruthzie Frazil | Nurse Practitioner | 225 Mawbey St, Woodbridge, NJ 07095-2315 | 2020-07-07 |
| 1275152035 | Jenny Lee Potter | Nurse Practitioner | 14948 Grassy Knoll Ct, Woodbridge, VA 22193-6002 | 2020-04-13 |
| 1346883220 | Sabrina Ann Salem | Nurse Practitioner | 3085 Clarkford Ct, Woodbridge, VA 22192-1107 | 2019-10-23 |
| 1831745264 | Sosina Jules | Nurse Practitioner | 5324 Satterfield Dr, Woodbridge, VA 22193-3408 | 2019-08-12 |
| 1720545452 | Shannon Marie Murley | Nurse Practitioner | 4500 Pond Way Ste 170, Woodbridge, VA 22192-5596 | 2019-02-28 |
| 1134685654 | Mabinti Kamara | Nurse Practitioner | 12770 Ripple Creek Ct Apt 2314, Woodbridge, VA 22192-6562 | 2019-02-20 |
| 1659846566 | Jennifer Couso | Nurse Practitioner | 1000 Route 9 N Ste 302, Woodbridge, NJ 07095-1200 | 2018-10-06 |
| 1467937854 | James Robert Dyson | Nurse Practitioner | 14010 Smoketown Rd # 103, Woodbridge, VA 22192-4722 | 2018-10-01 |
| 1295242469 | Victoria Afi Dzah | Nurse Practitioner | 2573 Grayton Ln, Woodbridge, VA 22191-4786 | 2018-01-09 |
| 1093228363 | Sheryl Cekot | Nurse Practitioner | 102 Cricket Ln, Woodbridge, NJ 07095-1502 | 2017-11-09 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 07095 |
Please comment or provide details below to improve the information on KENNETH MADUEKE.
| 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.