MRS. EMILY LYNN MCCLEMENS


Address: 90 Bergen St, Newark, NJ 07103-2425
Phone: 9739721617

MRS. EMILY LYNN MCCLEMENS (NPI# 1194935981) 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) 1194935981
Entity Type Individual
Full Name MRS. EMILY LYNN MCCLEMENS
Credential PA-C
Practice Address 90 Bergen St
Newark
NJ 07103-2425
Mailing Address 17 Osage Dr
Cranford
NJ 07016-3323
Practice Telephone 9739721617
Mailing Telephone 9739721617
Mailing Fax Number 9739721080
Enumeration Date 2007-05-23
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
25MP000715 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 90 BERGEN ST
City NEWARK
State NJ
Zip Code 07103-2425

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285623074 Karen Virginia Valdez-gonzalez Genetic Counselor, MS 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 2005-10-14
1134758816 Elizabeth Elaine Ginalis Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2020-04-05
1003462854 University Surgical Associates (om) Transplant Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-16
1528614021 Special LLC Plastic Surgery 90 Bergen St, Newark, NJ 07103-2425 2019-08-12
1265993216 Sean Michael Munier Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-30
1629539861 Ali Tayebi Meybodi Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-29
1497214282 Brandon Khoa Nguyen Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2019-03-19
1649776790 Purvee D Patel Student in an Organized Health Care Education/Training Program 90 Bergen St, Newark, NJ 07103-2425 2018-04-05
1740716703 Elena Solli Student in an Organized Health Care Education/Training Program 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 2017-05-11
1881120954 Ivo Bach Student in an Organized Health Care Education/Training Program 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 2017-05-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1124657077 Yingna Liu Student in an Organized Health Care Education/Training Program Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 2020-04-03
1568029684 Martins Akhibi Nurse Practitioner 178 Newton Street, Newark, NJ 07103 2019-05-23
1972168482 Newark Renaissance House, Inc Rehabilitation, Substance Use Disorder Unit 50-56 Norfolk Street, Newark, NJ 07103 2019-05-09
1346709235 Ian Wang Yu Student in an Organized Health Care Education/Training Program 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 2019-03-19
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1073019444 Geoffrey Alexander Talis Student in an Organized Health Care Education/Training Program 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 2018-04-03
1285139907 Thomas Georg Bachmann Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 2018-03-26
1154825289 Shammi A Patel Student in an Organized Health Care Education/Training Program 185 S Orange Ave # Msbg594, Newark, NJ 07103 2018-03-22
1982122545 North Jersey Aids Alliance Clinic/Center 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 2017-09-05
1134655533 Yasmin N Abedin Student in an Organized Health Care Education/Training Program 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 2017-05-04
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Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992104962 Jessica Nackley Physician Assistant 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 2014-08-15
1831304682 Geraldine Redmond Physician Assistant 150 Bergen St., E - Level Rm# E346, Newark, NJ 07103 2007-05-14
1285856716 Jill Rachel Mermagen Physician Assistant 4755 Stanton Ogletown Road, Newark, DE 19711 2007-05-03
1679794473 North Jersey Orthopaedic Group Physician Assistant 90 Bergen St Ste 1200, Newark, NJ 07103-2425 2007-05-01
1073697330 Krista Wark Rogaski Physician Assistant 90 Bergen St # 8100, Newark, NJ 07103-2425 2006-10-24
1043310527 Anthony H Hamded Physician Assistant 111 Central Ave Fl 3, Newark, NJ 07102-1909 2006-09-24
1922614981 Kalette Demarrais Physician Assistant 1096 Old Churchmans Rd, Newark, DE 19713-2102 2020-09-16
1477162725 Aidan Sullivan Physician Assistant 1200 Driving Park Ave, Newark, NY 14513-1090 2020-07-23
1871064352 Cassandra Barker Physician Assistant 150 Bergen St, Newark, NJ 07103-2496 2018-12-10
1881161198 Kaitlyn A Tytka Physician Assistant 1200 Driving Park Ave Ste 4, Newark, NY 14513-1090 2018-10-25
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Competitor

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City NEWARK
Zip Code 07103

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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