MERCER CTY OFFICE AGING (NPI# 1245445584) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245445584 |
| Entity Type | Organization |
| Organization Name | MERCER CTY OFFICE AGING |
| Practice Address |
200 Woolverton St. Trenton NJ 08650 |
| Mailing Address |
640 S. Broad St. Box 8068 Trenton NJ 08650-0068 |
| Practice Telephone | 6099896661 |
| Practice Fax Number | 6099899337 |
| Mailing Telephone | 6099896662 |
| Mailing Fax Number | 6099899337 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2008-07-16 |
| Authorized Official Name | MS. EILEEN DOREMUS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6099896662 |
| Authorized Official Credential | BA, CSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | 8185913 | NJ | Other Service Providers |
| Y | 171M00000X | Case Manager/Care Coordinator | 8185905 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8185913 | 05 | |
| NJ | 8185905 | 05 |
| Street Address |
200 WOOLVERTON ST. |
| City | TRENTON |
| State | NJ |
| Zip Code | 08650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619051711 | David Canavan | Internal Medicine | Professional Assistance Program of Nj, 742 Alexander Road, Princeton, NJ 08650 | 2006-10-25 |
| 1942353826 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 900 Marketplace Blvd, Hamilton, NJ 08650 | 2007-01-22 |
| 1043405509 | John Francis Kustrup Jr. | Surgery | 9 River Knoll Drive, Titusville, NJ 08650-1305 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720689102 | Foot and Soul | Podiatrist | 1 W State St, Trenton, NJ 08608-1205 | 2020-11-03 |
| 1225638885 | Adila Slaugther | Social Worker | 57 Wayne Ave Fl 2, Trenton, NJ 08618-3733 | 2020-10-31 |
| 1780282574 | Unique Care | Home Health | 925 Ne 11th Ave, Trenton, FL 32693-3627 | 2020-10-14 |
| 1891302808 | Trenton Family Chiropractic | Clinic/Center | 204 E State St, Trenton, OH 45067-1530 | 2020-09-24 |
| 1235744269 | Diana Gibson | In Home Supportive Care | 602 Meadow Ln, Trenton, OH 45067-1026 | 2020-09-15 |
| 1508471699 | Chelsey D Kloss | Physical Therapist | 980 E Broadway, Trenton, IL 62293-1442 | 2020-09-15 |
| 1437764859 | Edward Laub Md LLC | Internal Medicine | 2053 Klockner Rd, Trenton, NJ 08690-3413 | 2020-09-11 |
| 1649883000 | John Horvath | Emergency Medical Technician, Paramedic | 387 Cleveland St, Trenton, MI 48183-1206 | 2020-08-26 |
| 1902417801 | Mitch Elman | Home Health | 941 White Horse Ave Ste 20, Trenton, NJ 08610-1407 | 2020-08-13 |
| 1982212304 | On Your Side Family Services, LLC | Social Worker | 5508 Wilson St, Trenton, MI 48183-4745 | 2020-07-22 |
| Find all providers in TRENTON | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073174827 | Kia Macon | Case Manager/Care Coordinator | 39 N Clinton Ave Bldg 1, Trenton, NJ 08609-1011 | 2019-06-24 |
| 1629521471 | Martina Maaike Smith | Case Manager/Care Coordinator | 574 County Road 4641, Trenton, TX 75490-6420 | 2016-07-28 |
| 1457490302 | Jaquilla Pigue | Case Manager/Care Coordinator | 706 Burns Dr, Trenton, TN 38382-2604 | 2007-02-06 |
| 1720127541 | Gail Durden | Case Manager/Care Coordinator | 1263 Hwy 45 Bypass, Trenton, TN 38382 | 2007-02-06 |
| 1841822848 | Dawn Rachelle Brown | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2020-02-07 |
| 1881224251 | Susan Marlene Kennedy | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2020-01-24 |
| 1588215891 | Karla Chiarello | Case Manager/Care Coordinator | 39 N Clinton Ave Bldg 1, Trenton, NJ 08609-1011 | 2019-09-27 |
| 1326500463 | Maria Walker | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2019-04-05 |
| 1447712682 | Lonna Turner | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2019-04-05 |
| 1164998829 | Regina Seals | Case Manager/Care Coordinator | 728 Ne 7th St, Trenton, FL 32693-3637 | 2018-10-22 |
| Find all providers in TRENTON | ||||
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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.