MRS. LESLIEANN LAUREN PETERSON (NPI# 1194035899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194035899 |
| Entity Type | Individual |
| Full Name | MRS. LESLIEANN LAUREN PETERSON |
| Practice Address |
544 Broadway Newark NJ 07104 |
| Practice Telephone | 9733188316 |
| Practice Fax Number | 9733188317 |
| Mailing Telephone | 9733188316 |
| Mailing Fax Number | 9733188317 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
613612 | NY | Nursing Service Providers |
| Street Address |
544 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265903686 | Catherine Fagner | Registered Nurse | 515 Colton Ave, Newark, NY 14513-1812 | 2018-12-11 |
| 1891262663 | Felix Obinna Durueke | Registered Nurse | 410 Kerrigan Blvd Fl 1, Newark, NJ 07106-2915 | 2018-10-30 |
| 1205382025 | Minnie Lucille Channel | Registered Nurse | 143 Linden Ave, Newark, OH 43055-4110 | 2016-08-31 |
| 1780082271 | Jonathan Richard Frost | Registered Nurse | 548 Granville St, Newark, OH 43055-4348 | 2014-12-15 |
| 1609126481 | Paulette Tyrrell | Registered Nurse | 101 West Newtown Place, Newark, DE 19702 | 2012-09-19 |
| 1184931156 | Catherine Marie Mcnabb | Registered Nurse | 201 N 29th St, Newark, OH 43055-2664 | 2010-09-10 |
| 1104067917 | Susanna Marie Kerr | Registered Nurse | 1538 Mallard Cir W, Newark, OH 43055-9222 | 2009-03-09 |
| 1396916367 | Donna Sue Lamp | Registered Nurse | 68 Marne Dr, Newark, OH 43055 | 2008-03-18 |
| 1962683318 | Darla Sue Kuperus | Registered Nurse | 304 East Ave, Newark, NY 14513-1747 | 2007-11-14 |
| 1487782181 | Deborah Dorothy Mroz | Registered Nurse | 11 West Wind Court, Breezewood II, Newark, DE 19713 | 2007-03-02 |
| 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.