LILIYA SERADA (NPI# 1104384619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104384619 |
| Entity Type | Individual |
| Full Name | LILIYA SERADA |
| Practice Address |
24 Beech St Maywood NJ 07607-1821 |
| Practice Telephone | 2018876515 |
| Mailing Telephone | 2018876515 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00889300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 BEECH ST |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-1821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794084 | Kimberly Raye Barker- Price | Nurse Practitioner | 1206 S 14th Ave, Maywood, IL 60153-1835 | 2020-06-11 |
| 1619490083 | Allyson Petruzziello | Nurse Practitioner | 255 W Spring Valley Ave Ste 101, Maywood, NJ 07607-1444 | 2017-07-18 |
| 1306450325 | Linda Ippolito | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-09-08 |
| 1134731375 | Otanthia S Williams-brady | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-08-19 |
| 1992320592 | Jeslyn John | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-06-10 |
| 1619438744 | Bryant Motykowski | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-29 |
| 1275091548 | Robin Marie Loewe | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2019-03-06 |
| 1346725009 | Jodie E Cox | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-09-28 |
| 1487136131 | Meghan Donahoe | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-08-29 |
| 1245711886 | Julie Anne Minser | Nurse Practitioner | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2018-08-22 |
| Find all providers in MAYWOOD | ||||
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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.