LILJANA SPIDLE (NPI# 1174561146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174561146 |
| Entity Type | Individual |
| Full Name | LILJANA SPIDLE |
| Credential | PA |
| Practice Address |
230 Sherman Ave Glen Ridge NJ 07028-1529 |
| Mailing Address |
329 Hartford Rd South Orange NJ 07079-2432 |
| Practice Telephone | 9737448585 |
| Practice Fax Number | 9737485990 |
| Mailing Telephone | 9737616863 |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2010-01-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00150500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
230 SHERMAN AVE |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028-1529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205808300 | Jose C Flores | Family Medicine | 230 Sherman Ave, Suite A, Glen Ridge, NJ 07028-1529 | 2006-02-02 |
| 1255833281 | Lavinia May Couture | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028 | 2018-03-06 |
| 1013345552 | Sharon Meltzer | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2013-10-18 |
| 1487938627 | Naveen Ballem, Md LLC | Surgery | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2011-10-06 |
| 1710269980 | New Jersey Laproscopic Associates LLC | Surgery | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2011-09-14 |
| 1992029110 | Melissa Gail Berlin | Family Medicine | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2010-03-17 |
| 1285956995 | Kathrine Berdebes Kent | Dietitian, Registered | 230 Sherman Ave, Suite C, Glen Ridge, NJ 07028-1529 | 2010-02-22 |
| 1083843783 | Harvey Rainville | Surgery | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2009-07-02 |
| 1649432097 | Kartik Narendra Gohil | Surgery | 230 Sherman Ave, Suite C, Glen Ridge, NJ 07028-1529 | 2008-06-26 |
| 1104012533 | Rv Ballem Md Aruna Jk Ballem Md Pa | Pediatrics | 230 Sherman Ave, Glen Ridge, NJ 07028-1529 | 2007-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862463 | Kamlesh Mehrotra | Counselor | 192 Midland Ave, Glen Ridge, NJ 07028 | 2020-05-12 |
| 1821648965 | Sally Pitanga | Social Worker | 46 Victor Avenue, Glen Ridge, NJ 07028 | 2019-09-19 |
| 1487782579 | Kamlesh Khanna | Pediatrics | 401 Ridgewood Ave, Glen Ridge, NJ 07028 | 2007-03-01 |
| 1326111238 | Geraldine S Meanor | Internal Medicine | 150 Ridgewood Avenue, Glen Ridge, NJ 07028 | 2006-11-16 |
| 1134210305 | Cheryl D Ackerman | Dermatology | 368 Ridgewood Ave, Glen Ridge, NJ 07028 | 2006-09-27 |
| 1679530588 | Reuben Rozanski | Dermatology | 200 Highland Avenue, Glen Ridge, NJ 07028 | 2006-04-26 |
| 1629046388 | Ellen E Urrutia | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| 1487632436 | Gastroenterology Group of New Jersey Pa | Internal Medicine | 123 Highland Avenue, Suite 103, Glen Ridge, NJ 07028 | 2006-01-09 |
| 1689668683 | Efthymios I Daniskas | Internal Medicine | 311 Bay Ave, Mmg Pulmonology, Glen Ridge, NJ 07028 | 2005-09-06 |
| 1104205111 | B3yond Nutrition, LLC | Dietitian, Registered | 2 Ardsley Rd, Glen Ridge, NJ 07028 | 2015-05-22 |
| Find all providers in zip 07028 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | GLEN RIDGE |
| Zip Code | 07028 |
Please comment or provide details below to improve the information on LILJANA SPIDLE.
| 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.