MS. MARY JOAN STIUSO (NPI# 1083817241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083817241 |
| Entity Type | Individual |
| Full Name | MS. MARY JOAN STIUSO |
| Credential | APN |
| Practice Address |
174 Grand Ave Englewood NJ 07631-3585 |
| Mailing Address |
27 W Oak St Ramsey NJ 07446-2220 |
| Practice Telephone | 2017881000 |
| Practice Fax Number | 2017673463 |
| Mailing Telephone | 2013270234 |
| Mailing Fax Number | 2017673463 |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2014-12-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0807X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Adolescent |
NC08530100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
174 GRAND AVE |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881645133 | Linda Salzer | Social Worker | 174 Grand Ave, Englewood, NJ 07631-3585 | 2006-05-12 |
| 1700150596 | Eva Olivares | Social Worker | 174 Grand Ave, Englewood, NJ 07631-3585 | 2012-02-27 |
| 1942522792 | Kerry J Callahan | Social Worker | 174 Grand Ave, Englewood, NJ 07631-3585 | 2010-02-22 |
| 1417143462 | Roslyn F Ginsberg | Social Worker | 174 Grand Ave, Englewood, NJ 07631-3585 | 2007-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 364SP0807X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Child & Adolescent |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710119383 | Christine A. Doerr | Clinical Nurse Specialist | 163 Engle St, Suite 202, Englewood, NJ 07631-2535 | 2009-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294076 | Elizabeth Mogtader | Clinical Nurse Specialist | 570 Bartram Rd, Moorestown, NJ 08057-1871 | 2017-06-08 |
| 1245476761 | Judy Marie O'connor-becker | Clinical Nurse Specialist | 667 Shunpike Rd Ste 3, Green Village, NJ 07935-3021 | 2009-01-06 |
| 1144415050 | Mashenda Green | Clinical Nurse Specialist | 90 Ralph St Apt 3, Belleville, NJ 07109-5204 | 2007-09-13 |
| 1447477336 | Elaine Ruth Cowen | Clinical Nurse Specialist | 314 E State St, Trenton, NJ 08608-1810 | 2007-04-20 |
| 1235757485 | Dominion Health | Clinical Nurse Specialist | 245 Bayville Ave, Bayville, NJ 08721-1050 | 2020-07-13 |
| 1346512209 | Colleen Duffy | Clinical Nurse Specialist | 40 Eisenhower Dr, Paramus, NJ 07652-1404 | 2012-02-07 |
| 1922335520 | Alfina Evans | Clinical Nurse Specialist | 765 E Route 70, Marlton, NJ 08053-2341 | 2009-11-03 |
| 1548414964 | Caroline O Corvino | Clinical Nurse Specialist | 260 Broadway, Newark, NJ 07104-3906 | 2008-11-12 |
| 1144471293 | Nicole Renee Branca | Clinical Nurse Specialist | 650 Rancocas Rd, Westampton, NJ 08060-5613 | 2008-10-07 |
| 1023267838 | Lisa Spurlock Abrams | Clinical Nurse Specialist | 765 E Route 70, Building A, Marlton, NJ 08053-2341 | 2008-09-17 |
| Find all providers with the same taxonomy | ||||
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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.