DOLIS LEBREAULT (NPI# 1184906554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184906554 |
Entity Type | Individual |
Full Name | DOLIS LEBREAULT |
Credential | APN |
Practice Address |
275 Chestnut St Newark NJ 07105-1570 |
Practice Telephone | 9735895545 |
Mailing Telephone | 9735895545 |
Enumeration Date | 2011-09-12 |
Last Update Date | 2017-01-11 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 26NR11166500 | NJ | Nursing Service Providers |
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00373500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
275 CHESTNUT ST |
City | NEWARK |
State | NJ |
Zip Code | 07105-1570 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518973742 | Firpo Eugenio Guerrero | Internal Medicine | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-07-31 |
1154501740 | Tania Martinez-beasley | Physician Assistant | 275 Chestnut St, Newark, NJ 07105-1570 | 2007-11-12 |
1114043940 | Felix Ramos | Physician Assistant | 275 Chestnut St, Newark, NJ 07105-1570 | 2007-03-22 |
1922190529 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-09-29 |
1114933926 | Essex Gastro Associates, Pa | Internal Medicine | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-08-01 |
1891701611 | Essex Endoscopy Center of Nj, LLC | Clinic/Center | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-08-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
Find all providers in zip 07105 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
1568029411 | Ashley Nicole Warren | Nurse Practitioner | Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112-1782 | 2019-05-28 |
1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
1851884456 | Dionne Hutson Hendy | Nurse Practitioner | 52-54 Richelieu Ter, Newark, NJ 07106-1648 | 2018-06-08 |
1922472620 | Laura Kretz Mayover | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 | 2015-11-18 |
1710312848 | Saino Mathew | Nurse Practitioner | 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 | 2013-09-09 |
1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
1730486754 | Patricia Marie Wolf | Nurse Practitioner | 1818 Preston Pl, Newark, OH 43055-9328 | 2011-02-28 |
1518192640 | Michaelene M Baker Urban | Nurse Practitioner | Building B 86, Omega Drive, Newark, DE 19713-6004 | 2009-05-19 |
1316187594 | Sofrado Laggui Samonte Jr. | Nurse Practitioner | 25 Clifton Ave, Apt. 1608-d, Newark, NJ 07104-1872 | 2009-02-27 |
Find all providers in NEWARK |
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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.