ELLEN SMITH (NPI# 1235746553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235746553 |
| Entity Type | Individual |
| Full Name | ELLEN SMITH |
| Credential | NP |
| Practice Address |
340 Airis Dr. Suite 203 Newark NJ 07114 |
| Mailing Address |
1265 Paterson Plank Rd Ste 2d-2e Secaucus NJ 07094-3242 |
| Practice Telephone | 9735961200 |
| Mailing Telephone | 2015561225 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ01057900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972093870 | Ellen Smith | Social Worker | 60 Mountain St, Haydenville, MA 01039-9723 | 2018-05-16 |
| 1023528783 | Ellen Marie Smith | Specialist/Technologist | 3662 E Carmel Dr, Carmel, IN 46033-4317 | 2017-10-09 |
| 1457716474 | Ellen Crystal Smith | Counselor | 107-41 Van Wyck Expressway, Jamaica, NY 11435 | 2015-12-17 |
| 1932593688 | Ellen Katherine Smith | Massage Therapist | 10225 Se Raymond St, Portland, OR 97266-3635 | 2015-03-20 |
| 1063844587 | Ellen Elizabeth Smith | Dietitian, Registered | 8600 Pontchartrain Blvd, 410, New Orleans, LA 70124-2440 | 2013-08-07 |
| 1437435468 | Ellen Gray Smith | Occupational Therapist | 11 Pellett St, Norwich, NY 13815-1209 | 2011-10-21 |
| 1750534400 | Ellen Smith | Specialist | 2143 Singing Woods Dr, Skaneateles, NY 13152-8933 | 2008-10-28 |
| 1023273513 | Ellen Elizabeth Smith | Social Worker | 500 7th Avenue South, Dept. 7470, St. Petersburg, FL 33731-8920 | 2008-07-23 |
| 1083731772 | Ellen Anderson Smith | Physician Assistant | 14093 Roaring Fork Cir, Broomfield, CO 80020-3924 | 2007-03-26 |
| 1003923392 | Ellen M Smith | Social Worker | 31 Collegeview Ave, Poughkeepsie, NY 12603-2406 | 2006-08-24 |
| Street Address |
340 AIRIS DR. SUITE 203 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| 1346362191 | Harmony Pharmacy & Health Center Inc | Pharmacy | Newark International Airport, Terminal C, Newark, NJ 07114 | 2007-04-04 |
| Find all providers in zip 07114 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568029411 | Ashley Nicole Warren | Nurse Practitioner | Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112-1782 | 2019-05-28 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1851884456 | Dionne Hutson Hendy | Nurse Practitioner | 52-54 Richelieu Ter, Newark, NJ 07106-1648 | 2018-06-08 |
| 1922472620 | Laura Kretz Mayover | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 | 2015-11-18 |
| 1710312848 | Saino Mathew | Nurse Practitioner | 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 | 2013-09-09 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1730486754 | Patricia Marie Wolf | Nurse Practitioner | 1818 Preston Pl, Newark, OH 43055-9328 | 2011-02-28 |
| 1518192640 | Michaelene M Baker Urban | Nurse Practitioner | Building B 86, Omega Drive, Newark, DE 19713-6004 | 2009-05-19 |
| 1316187594 | Sofrado Laggui Samonte Jr. | Nurse Practitioner | 25 Clifton Ave, Apt. 1608-d, Newark, NJ 07104-1872 | 2009-02-27 |
| 1326212796 | Liane Paixao-illa | Nurse Practitioner | 788 Mount Prospect Ave, Newark, NJ 07104-3221 | 2008-04-16 |
| 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.