DOLIS LEBREAULT


Address: 275 Chestnut St, Newark, NJ 07105-1570
Phone: 9735895545

DOLIS LEBREAULT (NPI# 1184906554) 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) 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

Taxonomy

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

Office Location

Street Address 275 CHESTNUT ST
City NEWARK
State NJ
Zip Code 07105-1570

Providers in the same location

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

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

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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
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Competitor

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City NEWARK
Zip Code 07105

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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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