CAROLYN M MOFFA (NPI# 1134122559) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134122559 |
| Entity Type | Individual |
| Full Name | CAROLYN M MOFFA |
| Credential | FNP |
| Practice Address |
1 Centurian Dr Ste 200 Newark DE 19713-2137 |
| Mailing Address |
4755 Ogletown Stanton Road Suite 1e50 Newark DE 19718 |
| Practice Telephone | 3023668600 |
| Practice Fax Number | 3023665646 |
| Mailing Telephone | 3027331507 |
| Mailing Fax Number | 3027334998 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2016-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
LG-0000147 | DE | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 0001118042 | 05 |
| Street Address |
1 CENTURIAN DR STE 200 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184168700 | Skylar Genevieve Kulbacki | Chiropractor | 1 Centurian Dr, Suite 104, Newark, DE 19713-2137 | 2016-12-16 |
| 1770948598 | Meagan Theresa Monte | Genetic Counselor, MS | 1 Centurian Dr, Suite 312, Newark, DE 19713-2137 | 2015-12-21 |
| 1457776296 | Bayhealth Medical Center, Inc. | Clinic/Center | 1 Centurian Dr, Suite 208, Newark, DE 19713-2137 | 2014-03-04 |
| 1255754347 | Kristen Dopf | Physician Assistant | 1 Centurian Dr, Suite 310a, Newark, DE 19713-2137 | 2014-01-27 |
| 1316370125 | Tracy Nicole Scott | Physical Therapist | 1 Centurian Dr, Newark, DE 19713-2137 | 2013-08-15 |
| 1689916017 | Dawn Jackson | Massage Therapist | 1 Centurian Dr, Suite 303, Newark, DE 19713-2137 | 2013-03-24 |
| 1699026815 | Tiffany Kathleen Garcia | Chiropractor | 1 Centurian Dr, Suite 310b, Newark, DE 19713-2137 | 2012-09-27 |
| 1881944239 | Gregg Fink D.m.d., Inc. | Dentist | 1 Centurian Dr, Suite 213, Newark, DE 19713-2137 | 2012-09-13 |
| 1912265380 | Maura Ellen Hinckle | Nurse Practitioner | 1 Centurian Dr, Newark, DE 19713-2137 | 2012-04-24 |
| 1366716060 | Vascular Specialists, P.a. | Surgery | 1 Centurian Dr, Suite 307, Newark, DE 19713-2137 | 2012-02-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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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.