LISA M EWAN (NPI# 1093087249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093087249 |
| Entity Type | Individual |
| Full Name | LISA M EWAN |
| Credential | APN |
| Practice Address |
875 Kings Hwy Ste 100 West Deptford NJ 08096-3165 |
| Mailing Address |
6 N Broad St Suite 301 Woodbury NJ 08096-4635 |
| Practice Telephone | 8562510500 |
| Mailing Telephone | 8562510500 |
| Enumeration Date | 2012-02-03 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
26NJ00365500 | NJ | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00365500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6 N Broad St, Suite 301, Woodbury, NJ 080964635 | 8562510500 |
| Street Address |
875 KINGS HWY STE 100 |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08096-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153967 | Timothy Mcshane | Nurse Practitioner | 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 | 2020-04-22 |
| 1689146193 | Kelly Shope | Counselor | 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 | 2018-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275153967 | Timothy Mcshane | Nurse Practitioner | 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 | 2020-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
| 1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
| 1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
| 1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
| 1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | WEST DEPTFORD |
| Zip Code | 08096 |
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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.