JENNIFER MADDALONI (NPI# 1174854939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174854939 |
Entity Type | Individual |
Full Name | JENNIFER MADDALONI |
Credential | CRNP |
Practice Address |
2200 Hamilton St Ste 308 Allentown PA 18104-6359 |
Practice Telephone | 6104819600 |
Practice Fax Number | 6104810225 |
Mailing Telephone | 6104819600 |
Mailing Fax Number | 6104810225 |
Enumeration Date | 2010-01-19 |
Last Update Date | 2018-03-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP010598 | PA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 1032551220002 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
451 Chew St, Ste 304, Allentown, PA 181023472 | 6104819600 | 6104810225 |
649 N Lewis Rd Ste 220, Limerick, PA 194681234 | 6104819600 |
Street Address |
2200 HAMILTON ST STE 308 |
City | ALLENTOWN |
State | PA |
Zip Code | 18104-6359 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396732996 | Amit Harsh Gangoli | Internal Medicine | 2200 Hamilton St Ste 308, Allentown, PA 18104-6359 | 2005-09-29 |
1801456660 | Noelle Marie Heilman | Registered Nurse | 2200 Hamilton St Ste 308, Allentown, PA 18104-6359 | 2019-06-14 |
1366704025 | Charles J Schnaubelt | Nurse Practitioner | 2200 Hamilton St Ste 308, Allentown, PA 18104-6359 | 2012-06-08 |
1295966935 | Joseph Charles Bozzo | Physician Assistant | 2200 Hamilton St Ste 308, Allentown, PA 18104-6359 | 2009-07-29 |
1588717565 | Eastern Pennsylvania Infectious Disease Associates, LLC | Internal Medicine | 2200 Hamilton St Ste 308, Allentown, PA 18104-6359 | 2007-01-21 |
1275640435 | Steven Lee Katz | Internal Medicine | 2200 Hamilton St Ste 308, Allentown, PA 18104-6359 | 2006-08-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174134191 | The Calm Space LLC | Social Worker | 2047 Pa-309, Allentown, PA 18104 | 2020-08-13 |
1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
1093360513 | Meghan Paul | Pharmacist | 1727 W Liberty Street, Unit 2, Allentown, PA 18104 | 2019-08-02 |
1750948154 | Patricia Terreros | Counselor | 3057 College Heights Blvd Suite Ll, Allentown, PA 18104 | 2019-05-22 |
1023593084 | Hearvana | Clinic/Center | 2200 Wets Hamilton Street Suite 311, Allentown, PA 18104 | 2018-09-26 |
1700397098 | Amanda L Sellers | Psychologist | 121 N Cedar Crest Blvd Ste A, Allentown, PA 18104 | 2017-10-13 |
1689104457 | Craig Ryan Miller | Physical Therapist | 1651 N Cedar Crest Blvd Ste 100, Allentown, PA 18104 | 2017-06-14 |
1780128207 | Brandi Nicole Burns | Pediatrics | 1517 Pond Road, Allentown, PA 18104 | 2016-12-19 |
1750824264 | William Edward Thawley | Pharmacist | 322 N 7th St., Allentown, PA 18104 | 2016-12-01 |
1609222371 | Extremity Mri Inc | Radiologic Technologist | 3131 College Heights Blvd Ste 400, Allentown, PA 18104 | 2016-05-11 |
Find all providers in zip 18104 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124635610 | Chun Du | Nurse Practitioner | 7535 Windsor Dr Ste B100, Allentown, PA 18195-1038 | 2020-09-28 |
1629683248 | Krystle Fulton | Nurse Practitioner | 7535 Windsor Dr # 100, Allentown, PA 18195-1014 | 2020-09-10 |
1790333458 | Loanna T Nguyen | Nurse Practitioner | 2895 Halmilton Blvd, Suite 202, Allentown, PA 18104 | 2019-08-27 |
1629531108 | Khadian Smith | Nurse Practitioner | 7248 Tilghman St Ste 160, Allentown, PA 18106-9562 | 2019-04-10 |
1326502774 | Alexander Anthony Morris | Nurse Practitioner | 780 N Krocks Rd # 101, Allentown, PA 18106-9075 | 2019-01-29 |
1609384908 | Elijah Kimutai Chumo | Nurse Practitioner | 920 Beverly Dr, Allentown, PA 18103-3724 | 2018-01-21 |
1871004598 | Danielle A Garzillo | Nurse Practitioner | 3050 Hamilton Blvd Ste 100, Allentown, PA 18103-3691 | 2017-10-20 |
1992216758 | Stephanie Grace Frederick | Nurse Practitioner | 450 Chew St Ste 202, Allentown, PA 18102-3434 | 2017-10-19 |
1598275281 | Lorillie Soleta | Nurse Practitioner | Good Shepherd Rehabilitation Network, 850 South 5th St., Allentown, PA 18103 | 2017-10-06 |
1487191045 | Kathleen Baldwin | Nurse Practitioner | 1240 S Cedar Crest Blvd Ste 2800, Allentown, PA 18103-6369 | 2017-01-20 |
Find all providers in ALLENTOWN |
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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.