DR. CLINTON REBELLO (NPI# 1306226121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306226121 |
| Entity Type | Individual |
| Full Name | DR. CLINTON REBELLO |
| Credential | MD |
| Practice Address |
Mcguire Afb Apo AA 08610 |
| Mailing Address |
Mcguire Afb 3021 Mcguire Blvd Mcguire Afb NJ 08641 |
| Practice Telephone | 6097549713 |
| Enumeration Date | 2015-06-06 |
| Last Update Date | 2019-03-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171000000X | Military Health Care Provider | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | FAMILY MEDICINE | 207Q00000X | 01 |
| Street Address |
MCGUIRE AFB |
| City | APO |
| State | AA |
| Zip Code | 08610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710486766 | Merakey New Jersey | Community/Behavioral Health | 216 Borden Ave, Hamilton, NJ 08610 | 2018-02-06 |
| 1740641315 | Christiana Adiyiah Manu | Nurse Practitioner | 445 White Horse Ave Suit 202, Hamilton, NJ 08610 | 2016-03-10 |
| 1780932848 | Lindsay Helen Hutchinson | Social Worker | 311 White Horse Ave Ste C, Hamilton, NJ 08610 | 2012-08-21 |
| 1366745176 | Family Care Physicians, LLC | Pediatrics | 445 Whitehorse Ave., Suites 100-101, Hamilton, NJ 08610 | 2010-12-16 |
| 1134454200 | Anna Marie Cesnik | Occupational Therapist | 1900 Arena Drive, Hamilton, NJ 08610 | 2009-10-07 |
| 1003014663 | South Broad Street Counseling Services Inc | Clinic/Center | 1418 South Broad Street, Trenton, NJ 08610 | 2007-07-05 |
| 1235341371 | Liberty Healthcare Services | Home Health | 1603 South Broad Street, Hamilton, NJ 08610 | 2007-05-03 |
| 1841312055 | Ziad Hadaya | Internal Medicine | 994 Whitehorse Ave, Hamilton, NJ 08610 | 2007-04-06 |
| 1487704193 | Marion Levy Bergman | Social Worker | 89 Marshall Ave, Hamilton, NJ 08610 | 2007-01-12 |
| 1003979048 | Ebele Edith Ufondu | Internal Medicine | 941 Whitehorse Avenue, Suite 14, Hamilton, NJ 08610 | 2006-12-19 |
| Find all providers in zip 08610 | ||||
| Taxonomy Code | 171000000X |
| Grouping | Other Service Providers |
| Classification | Military Health Care Provider |
| Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |
| Notes: [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730700253 | Udaya Dahal | Military Health Care Provider | Grafenwoehr, De Tower Barracks, Usag-b, Apo, AE 09114 | 2020-05-06 |
| 1386273449 | Nicholas Thomas Nelson | Military Health Care Provider | 633d Medical Group, 76 Nealy Ave, Building #92, Apo, AA 23665 | 2020-04-02 |
| 1538795679 | Tanner Sean Harvey | Military Health Care Provider | 1mrb Bas, Apo, AA 92010 | 2020-03-20 |
| 1124686472 | Oscar Christian | Military Health Care Provider | Hospital: Wh3s9a 549 Hc/baach, Unit 15245, Apo, AP 96271 | 2019-06-02 |
| 1932687340 | Jennifer Marie Sisson | Military Health Care Provider | 4-2 Arb, Apo, AP 96271 | 2018-07-30 |
| 1962921049 | Heidi Grondahl | Military Health Care Provider | Building 2, Del Din Clinic, Apo, AE 09606 | 2017-09-11 |
| 1922546654 | Alexandria Fraleigh Jaksha | Military Health Care Provider | Blg 8740 Unit 23809, Cmr 405, Bx 52, Apo, AE 09034 | 2017-02-01 |
| 1447702154 | Jerry C Mallory Jr. | Military Health Care Provider | 4018 Bayard 44121, Apo, AA 44121 | 2016-10-28 |
| 1255661005 | Thomas J Drummond | Military Health Care Provider | Hhc 3-4 Inf, Cmr 405 Box #5427, Apo, AE 09034 | 2009-12-29 |
| 1194851261 | Rodolfo Lim Cubacub | Military Health Care Provider | Cmr 457, Box 639, Apo, AE 09033 | 2007-02-26 |
| Find all providers in APO | ||||
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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.