JILLIAN L CARROLL (NPI# 1235697103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235697103 |
| Entity Type | Individual |
| Full Name | JILLIAN L CARROLL |
| Credential | APN |
| Practice Address |
308 Willow Ave Hoboken NJ 07030-3808 |
| Mailing Address |
830 Madison St Apt 531 Hoboken NJ 07030-6857 |
| Practice Telephone | 2014181900 |
| Enumeration Date | 2019-03-08 |
| Last Update Date | 2020-01-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00909000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942398243 | Jillian Lousie Carroll | Counselor | 4041 S Cherokee St, Englewood, CO 80110-4611 | 2006-10-11 |
| 1770974016 | Jillian Carroll | Physician Assistant | 1002 Jefferson St, Suite 400, Laurel, MS 39440-4306 | 2015-02-09 |
| 1982017331 | Jillian Harrison Carroll | Speech-Language Pathologist | 4408 W Walnut St, Ste 7, Rogers, AR 72756-9526 | 2014-06-03 |
| 1649618828 | Jillian Carroll | Genetic Counselor, MS | 833 Chestnut St, Suite 1250, Philadelphia, PA 19107-4414 | 2013-06-10 |
| Street Address |
308 WILLOW AVE |
| City | HOBOKEN |
| State | NJ |
| Zip Code | 07030-3808 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780682369 | Donna M. Mercado | Emergency Medicine | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2005-07-08 |
| 1780205575 | Amanpreet Kaur | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-05-03 |
| 1770104887 | Lia Nadine Cesar | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-29 |
| 1861013112 | Apoorva Reddy | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-28 |
| 1134740467 | Sheenay Kendra Pryce | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-28 |
| 1992326342 | Nilufar Godin | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-27 |
| 1346860798 | Adelynn Renee Vadrar | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-24 |
| 1609496041 | Sylvia Bertha Ngina Mwanzia | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-24 |
| 1134749088 | Yvonne Elaine Baumrucker | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-21 |
| 1407476344 | John Elmy Seha | Student in an Organized Health Care Education/Training Program | 308 Willow Ave, Hoboken, NJ 07030-3808 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359071 | Silvia Ramirez Quiroz | Social Worker | 63a Eighth Street, Ground Floor, Hoboken, NJ 07030 | 2020-09-01 |
| 1629600176 | Robin Shamburg | Counselor | 5 Church Towers, Apt 8a, Hoboken, NJ 07030 | 2020-02-12 |
| 1083254809 | Rohan Chabra | Pharmacist | 101-105 Washington Street, Hoboken, NJ 07030 | 2020-01-09 |
| 1659921047 | Ashley Papa | Social Worker | 63rd 8th Street, Hoboken, NJ 07030 | 2019-09-17 |
| 1538621305 | Prohealth Riverside Dental, LLC | Dentist | 1425 Bloomfield Street, Hoboken, NJ 07030 | 2019-04-02 |
| 1639634470 | Progressive Option Support Services | Behavioral Analyst | 221 River Street 9th Floor, Hoboken, NJ 07030 | 2019-02-06 |
| 1164995189 | Luisa Fernanda Alzate Cobo | Occupational Therapy Assistant | 15 Church Towers, 5g, Hoboken, NJ 07030 | 2019-01-03 |
| 1588147821 | Melissa Ann Ronga | Social Worker | Mary Eliza Mahoney Health Center-394 University Ave., Newark, NJ 07030 | 2018-09-12 |
| 1578040952 | Kerry R Pitter | Psychologist | 221 River Street, 9th Floor, Hoboken, NJ 07030 | 2018-07-27 |
| 1265949416 | Ariel Mayer | Acupuncturist | 51 Newark Street, 203, Hoboken, NJ 07030 | 2018-01-09 |
| Find all providers in zip 07030 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184105512 | Sara J Sung | Nurse Practitioner | 2 Hudson Pl Fl 6, Hoboken, NJ 07030-5594 | 2018-08-23 |
| 1265961510 | Courtney Park | Nurse Practitioner | 1204 Washington St Apt 2n, Hoboken, NJ 07030-7400 | 2017-06-09 |
| 1700324704 | Georgia Rose | Nurse Practitioner | 517 Jackson St, Apartment 501, Hoboken, NJ 07030-6288 | 2017-02-09 |
| 1346599776 | Lauren Elizabeth Haber | Nurse Practitioner | 1 Independence Ct Apt 1215, Hoboken, NJ 07030-6766 | 2012-08-30 |
| 1053573238 | Diane Stella | Nurse Practitioner | 59 Washington St, Hoboken, NJ 07030-4555 | 2008-06-27 |
| 1902430895 | Kristin Lo | Nurse Practitioner | 59 Washington St, Hoboken, NJ 07030-4555 | 2020-02-28 |
| 1437620770 | Sarah Elizabeth Cuss | Nurse Practitioner | 1 Washington St, Hoboken, NJ 07030-4505 | 2018-12-16 |
| 1255876025 | Tara Aileen Duggan | Nurse Practitioner | 810 Washington St, Apartment 3, Hoboken, NJ 07030-5093 | 2017-01-03 |
| 1669709549 | Carol Buzinkai | Nurse Practitioner | 59 Washington St, Hoboken, NJ 07030-4505 | 2009-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386472 | Andries Van Der Meer | Nurse Practitioner | 5 Emeline Dr, Hawthorne, NJ 07506-3061 | 2020-11-08 |
| 1790386951 | Katherine Grace Dymacz | Nurse Practitioner | 376 Lafayette Rd Ste 101, Sparta, NJ 07871-3560 | 2020-11-04 |
| 1861093221 | Giacomina Carmela Sorezza | Nurse Practitioner | 267 Betsy Ross Dr, Freehold, NJ 07728-4223 | 2020-11-03 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1770183790 | Jennifer Samaan | Nurse Practitioner | 3540 Kennedy Blvd Ste 1, Jersey City, NJ 07307-3450 | 2020-10-28 |
| 1093314015 | Olga Karpusyuk | Nurse Practitioner | 2 Wilson Lane, Metuchen, NJ 08840 | 2020-10-21 |
| 1447859848 | Eugenie Kottin Chetangie | Nurse Practitioner | 13 Rolling Rapids Ct, Hackettstown, NJ 07840-1736 | 2020-10-19 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1205434248 | Avraham Y Eisenman | Nurse Practitioner | 706 Passaic Ave, Clifton, NJ 07012-1847 | 2020-10-12 |
| 1457958753 | Rita K Asiedu | Nurse Practitioner | 55 Washington Ave, Belleville, NJ 07109-2931 | 2020-10-08 |
| Find all providers with the same taxonomy | ||||
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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.