LATISSE MONIQUE MAYS-STOVALL (NPI# 1134305667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134305667 |
| Entity Type | Individual |
| Full Name | LATISSE MONIQUE MAYS-STOVALL |
| Credential | M.D. |
| Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Mailing Address |
168 Marion Dr West Orange NJ 07052-3315 |
| Practice Telephone | 9738658553 |
| Practice Fax Number | 9732820562 |
| Mailing Telephone | 9738658553 |
| Enumeration Date | 2008-01-15 |
| Last Update Date | 2008-01-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
25MA08262500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912990680 | Maureen Gang | Emergency Medicine | 150 Bergen St # Streetc, Newark, NJ 07103 | 2005-08-26 |
| 1003278664 | Sepehr Sedigh Haghighat | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2016-03-23 |
| 1831432426 | Jeremy Berberian | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2360 | 2013-04-01 |
| 1386879443 | Michael J. Vonbose | Emergency Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2009-05-19 |
| 1073563987 | Ronald J. Ellis | Emergency Medicine | 2600 Glasgow Avenue, Suite 100, Newark, DE 19702 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820788 | Sandra Rose Green | Emergency Medicine | 200 Spring Valley Ave, Hackensack, NJ 07601-2944 | 2019-09-19 |
| 1841708914 | Paraflightems | Emergency Medicine | 100 Gudz Rd, Lakewood, NJ 08701-2320 | 2018-01-11 |
| 1790028413 | Albert Shu He | Emergency Medicine | 20 Livingston Ave Unit 705, New Brunswick, NJ 08901-1995 | 2013-04-01 |
| 1851524862 | Andrew Berens | Emergency Medicine | 157 Sagamore Rd, Millburn, NJ 07041-2147 | 2009-08-25 |
| 1538310099 | Walter Patrick De Palma | Emergency Medicine | 2123 Shore Rd, Linwood, NJ 08221-2125 | 2008-10-02 |
| 1518115336 | Meenu Grover | Emergency Medicine | 21 Surrey Ln, Mahwah, NJ 07430-2502 | 2008-09-04 |
| 1477711927 | Ming-hong Wu | Emergency Medicine | 5 Moller St, Tenafly, NJ 07670-2019 | 2008-05-30 |
| 1396960464 | Charlotte Ann Alspach | Emergency Medicine | 2355 Ocean Dr, Avalon, NJ 08202-2070 | 2007-04-16 |
| 1730303371 | Janet Ann Neglia | Emergency Medicine | 5 Roe Ln, Howell, NJ 07731-9067 | 2007-04-13 |
| 1568555357 | Julie S Whitney | Emergency Medicine | 325 Marlton Pike E, Cherry Hill, NJ 08034-2408 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.