SUSAN DULCZAK


Address: 300 Second Ave, Long Branch, NJ 07740-6303
Phone: 7329237706

SUSAN DULCZAK (NPI# 1265652408) 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) 1265652408
Entity Type Individual
Full Name SUSAN DULCZAK
Credential NP
Practice Address 300 Second Ave
Long Branch
NJ 07740-6303
Practice Telephone 7329237706
Practice Fax Number 7329237451
Mailing Telephone 7329237706
Mailing Fax Number 7329237451
Enumeration Date 2007-04-30
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
26NJ00079200 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 300 SECOND AVE
City LONG BRANCH
State NJ
Zip Code 07740-6303

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NPI Name Taxonomy Address Enumeration
1528063435 Acutecare Health System, LLC General Acute Care Hospital 300 Second Ave, Greenwall 6, Long Branch, NJ 07740 2005-06-16
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1730602038 Mustafa Rawy Student in an Organized Health Care Education/Training Program 300 Second Ave, Long Branch, NJ 07740 2017-07-19
1538682885 Rebecca Horgan Student in an Organized Health Care Education/Training Program 300 Second Ave, Monmouth Medical Center, Long Branch, NJ 07740 2017-07-19
1720493604 Isha Verma Student in an Organized Health Care Education/Training Program 300 Second Ave, Monmouth Medical Center, Long Branch, NJ 07740 2014-06-30
1730428137 Ashley Salkewicz Nurse Anesthetist, Certified Registered 300 Second Ave, Monmouth Medical Center, Long Branch, NJ 07740 2013-02-05
1306164918 Evgeniya Sokolovskaya Student in an Organized Health Care Education/Training Program 300 Second Ave, Long Branch, NJ 07740 2010-05-06
1235457805 Monmouth Medical Center Student in an Organized Health Care Education/Training Program 300 Second Ave, Long Branch, NJ 07740 2010-05-06
1376782490 Robert Chabot Technician, Other 300 Second Ave, Long Branch, NJ 07740 2009-02-12
1154533701 Deborah A Kanobel Nurse Practitioner 300 Second Ave, Long Branch, NJ 07740 2007-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043789563 Lauryn Elaine Balestiero Social Worker 75 North Bath Avenue, Long Branch, NJ 07740 2018-11-14
1063991768 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 96 Church St. Apt. 317, Aberdeen, NJ 07740 2018-08-13
1649765785 Tatiana Nuzum Student in an Organized Health Care Education/Training Program 300 2nd Ave # Sw209, Long Branch, NJ 07740 2018-06-29
1558862466 Melissa Gagliardi Social Worker 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 2018-02-26
1871966879 Caringhouse Projects, Inc Respite Care 218 Highland Avenue, Long Branch, NJ 07740 2015-11-12
1083096556 Universal Rehabilitation & Fitness Center Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 73a Dudley St., Long Branch, NJ 07740 2015-06-22
1629450101 Jonathan Kristan Ophthalmology 279 3rd Ave Ste 204, Long Branch, NJ 07740 2015-06-22
1730510769 Elizabeth Worth Registered Nurse 63dunbar Ave, Long Branch, NJ 07740 2013-12-02
1710231022 Pasquale Evangelista Radiology 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 2012-11-08
1326314162 John Way Chin Pharmacy 134 Brighton Avenue, Long Branch, NJ 07740 2012-03-27
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1407311830 Kristi L Mulvey Nurse Practitioner 300 2nd Ave Ste Sh013, Long Branch, NJ 07740-6303 2019-02-11
1578934725 Natalie Corlett Nurse Practitioner 279 3rd Ave, Suite 306, Long Branch, NJ 07740-6211 2015-10-14
1275885097 Maryclaire Glover Nurse Practitioner 300 2nd Ave, Suite 021, Long Branch, NJ 07740-6303 2012-10-03
1699046086 Danielle Hilliard Nurse Practitioner 300 2nd Ave, Suite 021, Long Branch, NJ 07740-6303 2012-01-18
1255615274 Colleen Mary Ward Nurse Practitioner 300 2nd Ave, Long Branch, NJ 07740-6303 2011-10-10
1013069277 Kelli Ann Lennon Nurse Practitioner 300 Second Ave, Long Branch, NJ 07740 2007-01-17
1881759157 Mildred Mary Kenney-lau Nurse Practitioner 255 3rd Ave, Long Branch, NJ 07740-6214 2006-12-27
1326002569 May Truxal Nurse Practitioner 279 3rd Ave, Suite 604, Long Branch, NJ 07740-6205 2006-04-14

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1699398495 Shannon Gorman Nurse Practitioner 856 S White Horse Pike Unit 2, Hammonton, NJ 08037-2032 2020-05-27
1730738550 Sarah Williston Nurse Practitioner 254b Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 2019-09-04
1194285346 Sameh S Georgy Nurse Practitioner 17 Columbia Dr, Marlton, NJ 08053-3521 2019-03-22
1497211064 Dana Paglia Nurse Practitioner 1230 Parkway Ave Ste 303, Ewing, NJ 08628-3018 2019-02-19
1366916835 Chelsea Laufer Nurse Practitioner 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080-9344 2019-01-17
1659860757 Daniela A Moscarella Nurse Practitioner 300 Candlewood Cmns, Howell, NJ 07731-2170 2018-05-03
1265949655 Teresa Marie Mahoney Nurse Practitioner 575 Route 28 Bldg B, Raritan, NJ 08869-1354 2018-01-07
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Competitor

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City LONG BRANCH
Zip Code 07740

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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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