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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00738900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
156 LYONS AVE |
City | NEWARK |
State | NJ |
Zip Code | 07112-2016 |
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 |
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 |
Find all providers in zip 07112 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
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 |
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.