NICOLE KILIC (NPI# 1255879508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255879508 |
| Entity Type | Individual |
| Full Name | NICOLE KILIC |
| Credential | APN |
| Practice Address |
1 Cooper Plz Dorrance Building Camden NJ 08103-1461 |
| Mailing Address |
1 Federal St # 200 Camden NJ 08103-1088 |
| Practice Telephone | 8563422265 |
| Practice Fax Number | 8563428007 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2019-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
26NJ00707900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 COOPER PLZ DORRANCE BUILDING |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 363LN0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033530712 | Sura Lee | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2013-12-23 |
| 1295991966 | Dorothy J Wyatt | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103 | 2008-08-01 |
| 1932306586 | Susan Burrows-clark | Nurse Practitioner | 3 Cooper Plz, Suite 200, Camden, NJ 08103-1438 | 2007-06-28 |
| 1578617239 | Margaret Braunschweig | Nurse Practitioner | 1 Cooper Plz, 7th Floor Dorrance, Camden, NJ 08103-1461 | 2007-01-22 |
| 1083704373 | Chenoa D Newbey | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103 | 2006-10-15 |
| 1164512042 | Pam M Gutman | Nurse Practitioner | 1 Cooper Plz, Dorrance 7th Floor, Camden, NJ 08103-1461 | 2006-10-13 |
| 1639267339 | Barbara J Amendolia | Nurse Practitioner | 1 Cooper Plz, Dorrance 7th Floor, Camden, NJ 08103-1461 | 2006-10-10 |
| 1881628360 | Kamerron C. Cooper | Nurse Practitioner | 1 Cooper Plz, 7th Floor Dorrance, Camden, NJ 08103-1461 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669712592 | Gina Ferraro Mormino | Nurse Practitioner | 455 Conklintown Rd, Ringwood, NJ 07456-2603 | 2013-03-01 |
| 1750630059 | Christin Ann Riefler | Nurse Practitioner | 2239 Lyde Place, Scotch Plains, NJ 07076 | 2012-08-31 |
| 1073829503 | Jessica Lynne Mollard-zimmerman | Nurse Practitioner | 357 Sycamore St, Rahway, NJ 07065-2521 | 2010-08-22 |
| 1750600300 | Jessica Laura Cauchon | Nurse Practitioner | 101 Carnie Blvd., Newborn Health Associates, LLC, Voorhees, NJ 08043 | 2010-05-21 |
| 1215192877 | Suzanne Elizabeth Floyd | Nurse Practitioner | 254 Easten Avenue, St. Peter's University Hospital, New Brunswick, NJ 08901 | 2008-07-23 |
| 1023131554 | Cynthia Jean Kelley | Nurse Practitioner | 44 Holly Ln, Pilesgrove, NJ 08098-2414 | 2007-04-09 |
| 1679652127 | Kathleen Mary Harrington | Nurse Practitioner | Monmouth Medical Center, 300 Second Ave., Long Branch, NJ 07740 | 2006-11-03 |
| 1578097358 | Lydia Monteiro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2017-04-18 |
| 1558767913 | Lu-ann Campagnola | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2014-11-13 |
| 1295146918 | Jessica Morales | Nurse Practitioner | 903 Sheppard Rd, Voorhees, NJ 08043-4695 | 2014-05-15 |
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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.