TAHEERAH NICOLE HARDY


Address: 1151 Liberty Ave, Hillside, NJ 07205
Phone: 9083510420

TAHEERAH NICOLE HARDY (NPI# 1215440243) 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) 1215440243
Entity Type Individual
Full Name TAHEERAH NICOLE HARDY
Practice Address 1151 Liberty Ave
Hillside
NJ 07205
Mailing Address 1151 Liberty Avenue
Hillside
NJ 07205
Practice Telephone 9083510420
Practice Fax Number 9083510421
Mailing Telephone 9083510420
Mailing Fax Number 9083510421
Enumeration Date 2017-11-13
Last Update Date 2017-11-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 156FX1201X Technician/Technologist
Specialization: Optometric Assistant
Eye and Vision Services Providers
N 156FX1202X Technician/Technologist
Specialization: Optometric Technician
Eye and Vision Services Providers

Office Location

Street Address 1151 LIBERTY AVE
City HILLSIDE
State NJ
Zip Code 07205

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407021322 Floyd Stephen Patterspn Technician/Technologist 1151 Liberty Ave, Hillside, NJ 07205-2143 2008-04-23
1689125080 Nj Vision Care LLC Optometrist 1151 Liberty Ave, #b, Hillside, NJ 07205-2143 2016-10-20

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1346430089 On Call Ambulance, LLC Ambulance 431 Hillside Ave, Hillside, NJ 07205 2007-07-30
1558551481 Kona K3 Medical Supplies Durable Medical Equipment & Medical Supplies 146 Hillside Avenue, Hillside, NJ 07205 2007-07-26
1154532075 Hillside Twp. Publlic School Local Education Agency (LEA) Hillside High School - Dept of Special Services, 1085 Liberty Ave., Hillside, NJ 07205 2007-05-24
1881778470 New Jersey Cvs Pharmacy LLC Pharmacy 265 Long Ave Shop Rite Sc, Hillside, NJ 07205 2006-10-24
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1679041628 Pharmacotherapy LLC Respite Care 58 Blackburn Rd, Hillside, NJ 07205 2018-11-07
1851810832 Cherion Jasmine Fullerton-coley Nurse Practitioner 1295 State Street, Hillside, NJ 07205 2017-09-11
1538442090 Madelene Alvarez Pharmacist 1303 N Broad St, Hillside, NJ 07205 2011-09-21
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Taxonomy Information

Taxonomy Code 156FX1201X
Grouping Eye and Vision Services Providers
Classification Technician/Technologist
Specialization Optometric Assistant

Taxonomy Definition

Definition to come...

Competitor

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City HILLSIDE
Zip Code 07205

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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