JENNIFER DOLIS (NPI# 1104365832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104365832 |
| Entity Type | Individual |
| Full Name | JENNIFER DOLIS |
| Credential | NP-C |
| Practice Address |
400 Franklin Tpke Mahwah NJ 07430-3516 |
| Mailing Address |
43 Eagle Crest Way Chester NY 10918-1761 |
| Practice Telephone | 2019951005 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00701800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
400 FRANKLIN TPKE |
| City | MAHWAH |
| State | NJ |
| Zip Code | 07430-3516 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972508240 | Nicholas Alexander | Orthopaedic Surgery | 400 Franklin Tpke, Ste 100, Mahwah, NJ 07430-3517 | 2005-06-14 |
| 1376819250 | Garden State Orthopaedic Associates, P.a. | Orthopaedic Surgery | 400 Franklin Tpke, Suite 112, Mahwah, NJ 07430-3516 | 2012-03-26 |
| 1326211509 | Mahwah Valley Orthopedic Associates | Orthopaedic Surgery | 400 Franklin Tpke, Ste 100, Mahwah, NJ 07430-3516 | 2008-04-08 |
| 1881865046 | Cardiology & Oncology Assoc., P.a. | Internal Medicine | 400 Franklin Tpke, Ste 102, Mahwah, NJ 07430-3516 | 2008-03-17 |
| 1235321571 | Surgicare Surgical Associates of Mahwah, LLC | Clinic/Center | 400 Franklin Tpke, Mahwah, NJ 07430-3516 | 2007-08-10 |
| 1003935693 | Northeastern Anesthesia of New Jersey, PC | Anesthesiology | 400 Franklin Tpke, Surgicare Surgical Associates of Mahwah, LLC, Mahwah, NJ 07430-3516 | 2007-03-28 |
| 1386793313 | Indu Sharma | Internal Medicine | 400 Franklin Tpke, Ste. 102, Mahwah, NJ 07430-3516 | 2007-01-09 |
| 1497804405 | Ashok Kumar Sharma | Internal Medicine | 400 Franklin Tpke, Ste. 102, Mahwah, NJ 07430-3516 | 2007-01-09 |
| 1528123601 | Rachel Levine Sicolo | Physical Therapist | 400 Franklin Tpke, Mahwah, NJ 07430-3516 | 2006-12-27 |
| 1376637413 | Mary R Bello | Specialist | 400 Franklin Tpke, Suite 106, Mahwah, NJ 07430-3516 | 2006-10-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1689195984 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 94 Ramapo Valley Road, Mahwah, NJ 07430 | 2017-06-28 |
| 1073995304 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 1019 Macarthur Blvd, Excel Orthopedic Rehabilitation, Mahwah, NJ 07430 | 2015-06-23 |
| 1467869255 | Song Woo Seo | Podiatrist | 400 Franklin Tpke # 202, Mahwah, NJ 07430 | 2014-07-14 |
| 1609168384 | Tides Psychotherapy Services, LLC | Social Worker | 900 Darlington Avenue, Mahwah, NJ 07430 | 2011-05-12 |
| 1679713119 | Gloria Leder | Social Worker | 574 Laramine Lane, Mahwah, NJ 07430 | 2009-02-24 |
| 1518113711 | Carolyn Demaria | Pediatrics | 367 Forest Rd, Mahwah, NJ 07430 | 2008-08-07 |
| 1982850186 | Frank Demaria Jr. | Pediatrics | 367 Forest Rd., Mahawah, NJ 07430 | 2008-08-07 |
| 1992917488 | Leo Victor Russ | Dentist | 265 Westervelt Lane, Mahwah, NJ 07430 | 2007-05-04 |
| 1487729521 | Richard A Sabella | Dentist | 156 Ramapo Valley Road, Mahwah, NJ 07430 | 2006-11-22 |
| Find all providers in zip 07430 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193112 | Mary M. Busto | Nurse Practitioner | 634 Wyckoff Ave, Mahwah, NJ 07430-3031 | 2015-05-08 |
| 1609800416 | Debra L. Lukacsko | Nurse Practitioner | 505 Ramapo Valley Rd, Mahwah, NJ 07430-1623 | 2006-07-10 |
| 1841575552 | Andrew Fruhschien | Nurse Practitioner | 10 Franklin Tpke, Mahwah, NJ 07430-1304 | 2011-10-13 |
| 1073893178 | Pavel Odintsov | Nurse Practitioner | 10 Franklin Tpke, Mahwah, NJ 07430-1304 | 2011-08-19 |
| 1003149477 | Ashley Storms | Nurse Practitioner | 10 Franklin Tpke, Mahwah, NJ 07430-1304 | 2009-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
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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.