DOROTHY LOIS MCKEON (NPI# 1124103635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124103635 |
| Entity Type | Individual |
| Full Name | DOROTHY LOIS MCKEON |
| Credential | APN-C |
| Practice Address |
1 Bay Ave Mountainside Hospital Montclair NJ 07042 |
| Mailing Address |
744 Upper Way Wharton NJ 07885 |
| Practice Telephone | 9734296000 |
| Practice Fax Number | 9736807736 |
| Mailing Telephone | 9735376670 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NN04036200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 BAY AVE MOUNTAINSIDE HOSPITAL |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275539645 | Philip Lutz | Anesthesiology | 1 Bay Ave, Montclair, NJ 07042-4837 | 2005-06-22 |
| 1063039782 | Heary Neurosurgical Institute PC | Neurological Surgery | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-06-29 |
| 1912527094 | Fahmena Islam | Registered Nurse | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-20 |
| 1770103004 | Dhara Patel | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-16 |
| 1639798028 | Meng-shan Lin | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-15 |
| 1487273660 | Carlos Enrique Huauya Leuyacc | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-08 |
| 1275162620 | Arham Syed Hazari | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-07 |
| 1841829389 | Sydnee Siewshyuan Lim | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1144859620 | Tochukwu Mbolu | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-06 |
| 1932737079 | Keerthana Kuppamma Kumar | Student in an Organized Health Care Education/Training Program | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679925895 | Alexis Rose Sell | Nurse Practitioner | Montclair State University Health Center, 1 Normal Avenue, Montclair, NJ 07043-1624 | 2016-07-12 |
| 1508098302 | Lydia Ann Patrick-deluca | Nurse Practitioner | 88 Porter Pl, Montclair, NJ 07042-2036 | 2009-08-13 |
| 1285795468 | Marlissa M Belay | Nurse Practitioner | 78 Willowdale Ave, Montclair, NJ 07042-4423 | 2006-12-12 |
| 1013551092 | Maria Abigail Pama | Nurse Practitioner | 98 Park St, Montclair, NJ 07042-2929 | 2019-11-01 |
| 1023231438 | Mary Ann M Sharpe | Nurse Practitioner | Montclair State University, Montclair, NJ 07043-1624 | 2007-04-11 |
| 1013039106 | Ann Frances Vallone | Nurse Practitioner | 1 Bay Ave, Montclair, NJ 07042-4837 | 2007-04-06 |
| 1912051335 | Susan L Graziano | Nurse Practitioner | 1 Normal Ave, Msu Health Center Blanton Hall, Montclair, NJ 07043-1624 | 2007-01-23 |
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|---|---|---|---|---|
| 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.