MR. YAZAN AHMAD ALKHAWAM (NPI# 1285254250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1285254250 |
Entity Type | Individual |
Full Name | MR. YAZAN AHMAD ALKHAWAM |
Credential | DDS |
Practice Address |
273 16th St Apt 714 Jersey City NJ 07310-1041 |
Practice Telephone | 2017230219 |
Mailing Telephone | 2017230219 |
Enumeration Date | 2020-04-20 |
Last Update Date | 2020-04-20 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | NJ | Student, Health Care |
Street Address |
273 16TH ST APT 714 |
City | JERSEY CITY |
State | NJ |
Zip Code | 07310-1041 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669082756 | Transformational Healthcare Services | Clinic/Center | 111 Town Square Place, Suite 1203 Pmb 1039, Jersey City, NJ 07310 | 2020-08-04 |
1538701032 | Yekaterina Shteyn, Od, PC | Optometrist | 30-103a Mall Drive West, Jersey City, NJ 07310 | 2019-10-16 |
1306397377 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 20 Mall Dr E, Jersey City, NJ 07310 | 2016-10-14 |
1285093641 | Amanda Christina Abou Ezzi I | Student in an Organized Health Care Education/Training Program | 30 River Ct, Apt 2302, Jersey City, NJ 07310 | 2016-02-15 |
1871967356 | Balvinder Bharj | Optometrist | 20 Mall Drive East, Lenscrafters Macys, Jersey City, NJ 07310 | 2015-11-20 |
1578949020 | Dietetic Care Practice LLC | Dietitian, Registered | 110-2907 River Dr South, Jersey City, NJ 07310 | 2015-08-07 |
1679816060 | Bendetta Fleming | Specialist/Technologist | 30 Newport Parkway, 507, Jersey City, NJ 07310 | 2013-04-03 |
1891041307 | Christina Ai-ling Chu | Optometrist | 30-267 Mall Dr. West, Jersey City, NJ 07310 | 2012-08-02 |
1346532538 | Bridget Lane | Speech-Language Pathologist | 45 River Dr So. Apt. 2109, Jersey City, NJ 07310 | 2011-05-06 |
1205067576 | Mark S Agababaev | Dentist | 30-71 A Mall Drive West, Jersey City, NJ 07310 | 2009-08-04 |
Find all providers in zip 07310 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083236525 | Emmanuel Mogire | Student in an Organized Health Care Education/Training Program | 274 Stevens Ave, Jersey City, NJ 07305-1314 | 2020-05-07 |
1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
1528696614 | Ikenna Obiakwata | Student in an Organized Health Care Education/Training Program | 36 Duncan Ave Apt D1, Jersey City, NJ 07304-2151 | 2020-04-01 |
1114575503 | Mussyyab Iqbal | Student in an Organized Health Care Education/Training Program | 280 Marin Blvd Apt 3i, Jersey City, NJ 07302-3690 | 2019-08-28 |
1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
1952964454 | Jennifer Kurowicki | Student in an Organized Health Care Education/Training Program | 25 Park Ln S Apt 801, Jersey City, NJ 07310-3124 | 2019-04-19 |
1184287286 | Erick Heiman | Student in an Organized Health Care Education/Training Program | 414 Grand St Ste 14, Jersey City, NJ 07302-4240 | 2019-04-15 |
1700346715 | Gustavo Giancarlo Sanchez Soto | Student in an Organized Health Care Education/Training Program | 543 Central Ave Apt 3, Jersey City, NJ 07307-2595 | 2019-03-25 |
1467934976 | Orlando Robledo Jr. | Student in an Organized Health Care Education/Training Program | 70 Hancock Ave Apt 3r, Jersey City, NJ 07307-2221 | 2018-08-30 |
Find all providers in JERSEY CITY |
City | JERSEY CITY |
Zip Code | 07310 |
Please comment or provide details below to improve the information on MR. YAZAN AHMAD ALKHAWAM.
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.