ROSENNA DAVITA HINNANT PEMBERTON


Address: 95 W 13th St Fl 1, Bayonne, NJ 07002-1343
Phone: 2016681001

ROSENNA DAVITA HINNANT PEMBERTON (NPI# 1184199382) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184199382
Entity Type Individual
Full Name ROSENNA DAVITA HINNANT PEMBERTON
Credential LPC
Practice Address 95 W 13th St Fl 1
Bayonne
NJ 07002-1343
Practice Telephone 2016681001
Mailing Telephone 2013047957
Mailing Fax Number 2015100758
Enumeration Date 2018-10-04
Last Update Date 2018-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
37PC00630300 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 95 W 13TH ST FL 1
City BAYONNE
State NJ
Zip Code 07002-1343

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003216086 Debora Buzinkai Counselor 473 Broadway Ste 215, Bayonne, NJ 07002-3680 2014-08-27
1780019091 Leida G Taflinski Counselor 63 Isabella Ave, Bayonne, NJ 07002-4365 2013-09-05
1700401114 Maura Concetta Cangiano Counselor 667 Avenue A, Bayonne, NJ 07002-1851 2020-06-11
1871124669 Christopher Michael Thompson Counselor 510 Broadway, Bayonne, NJ 07002-3712 2020-01-30
1144860867 Anais Dupree Counselor 29 E 29th St, Bayonne, NJ 07002-4654 2020-01-10
1952954745 Noreen Heslin Counselor 601 Broadway, Bayonne, NJ 07002-3818 2019-07-20
1619400314 Joshua Echeverria Counselor 601 Broadway, Bayonne, NJ 07002-3818 2017-04-10
1619332004 Earl Lewis IIi Counselor 107 North St, Bayonne, NJ 07002-1256 2015-12-29
1639445620 Kristal Miller Counselor 995 Broadway, Bayonne, NJ 07002-4040 2012-03-24
1952677098 Anthony Jenkins Counselor 995 Broadway, Bayonne, NJ 07002-4040 2012-03-22
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Competitor

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City BAYONNE
Zip Code 07002

Improve Information

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Dataset Information

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.

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