JESSICA RONAE GAVIN (NPI# 1306468004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306468004 |
| Entity Type | Individual |
| Full Name | JESSICA RONAE GAVIN |
| Practice Address |
183 S Orange Ave Newark NJ 07103-2757 |
| Mailing Address |
671 Hoes Ln W Piscataway NJ 08854-8021 |
| Practice Telephone | 9739720457 |
| Mailing Telephone | 9739720457 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831555911 | Jessica Gavin | Student in an Organized Health Care Education/Training Program | 3205 Sweetgum Trl Apt 1823, Arlington, TX 76014-2829 | 2016-01-06 |
| Street Address |
183 S ORANGE AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073510947 | Michael A. Gerstmann | Family Medicine | 183 S Orange Ave, Bhsb B-1455, Newark, NJ 07103-2757 | 2005-07-07 |
| 1568087203 | Shelly Jecc Espejo | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-06-09 |
| 1447872056 | Mauritza Barnard | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-18 |
| 1033731864 | Mariangel Chevalier | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-14 |
| 1518591304 | Roselande Pierre-louis | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-03-02 |
| 1952933194 | Ikea Vandross | Case Manager/Care Coordinator | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-02-05 |
| 1316578446 | Kaleemah T Dobson | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2020-01-28 |
| 1164060232 | Sharon Renee Baker | Behavior Technician | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-12-19 |
| 1912545211 | Marcia Ginlock | Counselor | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-12-17 |
| 1922643816 | Deanna Bien-aime | Social Worker | 183 S Orange Ave, Newark, NJ 07103-2757 | 2019-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223897 | Verne Taylor | Case Manager/Care Coordinator | 36397 Dijon Dr, Newark, CA 94560-2458 | 2020-04-10 |
| 1669006698 | Kennedy Asa Smith | Case Manager/Care Coordinator | 15 N 3rd St # 200, Newark, OH 43055-5550 | 2020-02-28 |
| 1942848403 | Amia J Pinckney | Case Manager/Care Coordinator | 243 South 11th Street, Newark, NJ 07103-0710 | 2019-12-16 |
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1730735473 | Valllery Supplice | Case Manager/Care Coordinator | 218 Sherman Ave, Newark, NJ 07114-1650 | 2019-08-16 |
| 1497233084 | Leighanna Wagner | Case Manager/Care Coordinator | 1547 Crystal Ct Apt D, Newark, OH 43055-6184 | 2018-08-06 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1154857779 | Julian King | Case Manager/Care Coordinator | 2590 Loper Rd Ne, Newark, OH 43055-9728 | 2017-05-02 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1619324563 | Juliana N Dasilva | Case Manager/Care Coordinator | 59 Wilson Ave, #3, Newark, NJ 07105-3216 | 2016-05-20 |
| 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.