DE LUCIA ADVANCE PRACTICE (NPI# 1194061879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194061879 |
| Entity Type | Organization |
| Organization Name | DE LUCIA ADVANCE PRACTICE |
| Practice Address |
7617 Kennedy Blvd North Bergen NJ 07047-4024 |
| Practice Telephone | 2018541500 |
| Practice Fax Number | 2018541505 |
| Mailing Telephone | 2018541500 |
| Mailing Fax Number | 2018541505 |
| Enumeration Date | 2012-12-27 |
| Last Update Date | 2014-12-10 |
| Authorized Official Name | MS. LAUREN MICHELE DE LUCIA (CEO/OWNER) |
| Authorized Official Telephone | 2018541500 |
| Authorized Official Credential | ACNP-BC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00060000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7617 KENNEDY BLVD |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053346262 | Lauren Michele De Lucia | Nurse Practitioner | 7617 Kennedy Blvd, North Bergen, NJ 07047-4024 | 2006-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
| Find all providers with the same taxonomy | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
Please comment or provide details below to improve the information on DE LUCIA ADVANCE PRACTICE.
| 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.