MARIAN HEENEHAN (NPI# 1144437054) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144437054 |
| Entity Type | Individual |
| Full Name | MARIAN HEENEHAN |
| Credential | APRN |
| Practice Address |
150 Bergen St Newark NJ 07103-2496 |
| Mailing Address |
485 Pulis Ave Franklin Lakes NJ 07417-1327 |
| Practice Telephone | 9739725431 |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0200X |
Clinical Nurse Specialist Specialization: Pediatrics |
26NC04440400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 BERGEN ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2496 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427052232 | Cherie Anne Burke | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2005-06-09 |
| 1235739269 | Rebecca Kim | Pharmacist | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-28 |
| 1033719513 | Suilon Ng | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-26 |
| 1801494539 | Brenda Borba | Dietitian, Registered | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-14 |
| 1881207454 | Eloy Francisco Ruiz Mendoza | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-08-24 |
| 1396368437 | Jacqueline E. Baron | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-23 |
| 1235751512 | Jacklyn A Johnson | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-10 |
| 1427679299 | Krishna Gandhi | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-02 |
| 1689294399 | Danielle Marie Lion | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-22 |
| 1902426893 | Saahil A Jumkhawala | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 364SP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235305103 | Mary Lynn Lambert | Clinical Nurse Specialist | 201 Lyons Ave # L5, Children's Hospital of New Jesey, Newark, NJ 07112-2027 | 2008-05-01 |
| 1467756619 | Susan La Bagnara | Clinical Nurse Specialist | 150 Bergen St, F342, Newark, NJ 07103-2496 | 2011-01-03 |
| 1356559900 | Sheila L Walsh | Clinical Nurse Specialist | 185 S Orange Ave, Msb F570a, Newark, NJ 07103-2757 | 2007-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992253124 | Joan A Roop | Clinical Nurse Specialist | 17 Watchung Ave, Chatham, NJ 07928-2700 | 2016-09-16 |
| 1285966929 | Rebecca J Ganz | Clinical Nurse Specialist | 690 Kinderkamack Rd, Suite 102, Oradell, NJ 07649-1524 | 2010-02-05 |
| 1154599819 | Christine Anna Wagner | Clinical Nurse Specialist | 100 Madison Ave, Dept. of Pediatric Endocrinolgy, Box 53, Morristown, NJ 07960-6136 | 2008-02-15 |
| 1346258357 | Debora Ann Blanchard | Clinical Nurse Specialist | 125 Route 46, Budd Lake, NJ 07828 | 2006-08-04 |
| 1528076544 | Lisa Mercurio | Clinical Nurse Specialist | 17 S Warren St, Dover Community Clinic, Dover, NJ 07801 | 2006-08-04 |
| 1427090901 | Annette Sinski | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-06-11 |
| 1114970530 | Carlene Angela Cord | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack University Medical Center- Tommorrows Childr, Hackensack, NJ 07601 | 2006-05-18 |
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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.