MARIA ROSE MIRANDA


Address: 156 Lyons Ave, Newark, NJ 07112-2016
Phone: 9739266775

MARIA ROSE MIRANDA (NPI# 1275052805) 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) 1275052805
Entity Type Individual
Full Name MARIA ROSE MIRANDA
Credential NP
Practice Address 156 Lyons Ave
Newark
NJ 07112-2016
Mailing Address 18 Midland Blvd
Maplewood
NJ 07040-1744
Practice Telephone 9739266775
Enumeration Date 2017-09-14
Last Update Date 2017-09-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
26NJ00738900 NJ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 156 LYONS AVE
City NEWARK
State NJ
Zip Code 07112-2016

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366428567 Razia S Awan Internal Medicine 156 Lyons Ave, Newark, NJ 07112-2016 2005-12-20
1255571147 Advantage Geriatrics Care,llc Specialist 156 Lyons Ave, Ground Floor, Newark, NJ 07112-2016 2009-03-05
1215176110 Advantage Care Geriatrics, LLC Specialist 156 Lyons Ave, Ground Floor, Newark, NJ 07112-2016 2009-02-17
1366618902 Annamarie Matos Nurse Practitioner 156 Lyons Ave, Newark, NJ 07112-2016 2008-05-04

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129680 Kimberly Sjockeia Smith-jones Massage Therapist 590 Irvine Turner Blvd, Newark, NJ 07112 2020-09-18
1346880325 Latifat Olabisi Bamgbose Licensed Practical Nurse 233 Lehigh Avenue, #3, Newark, NJ 07112 2020-01-08
1316588122 Leila Renee Grubbs Counselor 140 Chancellor Avenue, 1b, Newark, NJ 07112 2019-10-02
1891347225 Obeng Pharmacy LLC Pharmacy 431-433 Elizabeth Avenue, Newark, NJ 07112 2019-07-16
1124595723 Patience Marks Nurse Practitioner 15 Shaw Avenue, Newark, NJ 07112 2018-11-01
1215425145 Johnbosco Okpala Student in an Organized Health Care Education/Training Program Nbimc 201 Lyons Ave, Newark, NJ 07112 2018-04-26
1700383809 Big Sam's Services LLC Home Health 349 Hawthorne Avenue, Newark, NJ 07112 2018-04-06
1780117325 Vivien Wai Tung Ku Student in an Organized Health Care Education/Training Program 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 2017-04-11
1265839922 Bhavinkumar Shah Pharmacist 178-180 Lyons Ave, Newark, NJ 07112 2014-11-24
1629377445 Isaac Abiola Popoola Registered Nurse 357 Schley Aptb4, Newark, NJ 07112 2011-03-18
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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992211023 Hanna Ramsburg Nurse Practitioner 4755 Ogletown Stanton Rd Ste E1070, Newark, DE 19718-2200 2017-12-27
1689936080 Joan Kinsey Nurse Practitioner 16 Polly Drummond Shpg Ctr, Newark, DE 19711-4861 2012-06-12
1407881014 Rowena Ann Redmond Nurse Practitioner 703 East Maple Ave, Tymeson Building, Newark, NY 14513-9921 2006-07-11
1225642200 Cresencia E Leopold Nurse Practitioner 201 Lyons Ave, Newark, NJ 07112-2027 2020-09-07
1730791468 Susan Maria Karunphand Nurse Practitioner 213 Washington St, Newark, NJ 07102-2917 2020-08-24
1588224877 Amanda Streeper Nurse Practitioner 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 2019-06-18
1265992416 Mary Elias Nurse Practitioner 140 Bergen St, Newark, NJ 07103-2425 2019-03-22
1891200424 Jamie Feinour Nurse Practitioner 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2200 2017-12-05
1831547587 Lauren Holmes Nurse Practitioner 4755 Ogletown Stanton Rd, Suite 1e20, Newark, DE 19718-2200 2016-06-02
1295068427 Kathleen M Collins Nurse Practitioner 1208 Driving Park Ave, Newark, NY 14513-1057 2009-09-04
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Competitor

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City NEWARK
Zip Code 07112

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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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