MS. DANIELA CAVALLARO (NPI# 1336692011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336692011 |
Entity Type | Individual |
Full Name | MS. DANIELA CAVALLARO |
Other Name | DANIELA KOFMAN |
Credential | NP |
Practice Address |
330 Franklin Tpke Ridgewood NJ 07450 |
Mailing Address |
330 Franklin Tpke Ridgewood NJ 07450-1932 |
Practice Telephone | 2014471900 |
Mailing Telephone | 2014471900 |
Enumeration Date | 2016-07-28 |
Last Update Date | 2018-08-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00649500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
330 FRANKLIN TPKE |
City | RIDGEWOOD |
State | NJ |
Zip Code | 07450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215970009 | Health Resources of Ridgewood, LLC | Skilled Nursing Facility | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2006-06-13 |
1265944680 | Jessica Fatima Ramos | Speech-Language Pathologist | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2017-10-25 |
1023536547 | Kristen Nicole Raskin | Speech-Language Pathologist | 330 Franklin Tpke, Ridgewood, NJ 07450 | 2017-09-05 |
1144625112 | Jennifer Ciano | Occupational Therapy Assistant | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2014-11-03 |
1659660728 | Maria Teresa Trevisani | Occupational Therapist | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2011-03-29 |
1821272121 | 330 Franklin Turnpike Operations LLC | Skilled Nursing Facility | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2007-12-21 |
1184742942 | Betsy Jacob | Occupational Therapist | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2007-03-27 |
1588782379 | Pamela Speck | Physical Therapist | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2007-03-27 |
1730207531 | Wendy V Warner | Occupational Therapy Assistant | 330 Franklin Tpke, Ridgewood, NJ 07450-1932 | 2007-03-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
Find all providers in zip 07450 |
Taxonomy Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386040905 | Mary L Simmons | Nurse Practitioner | 29 Richmond Ave, Ridgewood, NJ 07450-4224 | 2014-11-10 |
1649564568 | Kathleen Pirozzi | Nurse Practitioner | 316 Van Emburgh Ave, Ridgewood, NJ 07450-9998 | 2011-06-08 |
1427254523 | Virginia V Ilie | Nurse Practitioner | 1819 Menahan St, 2 R, Ridgewood, NY 11385-1846 | 2007-06-25 |
1306840913 | Donna Mae Rudesyle | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2005-06-10 |
1588107072 | Mario A Guerrero | Nurse Practitioner | 6655 Fresh Pond Rd, Ridgewood, NY 11385-3261 | 2016-12-01 |
1831563345 | Allison Makowsky | Nurse Practitioner | 85 S Maple Ave, Ridgewood, NJ 07450 | 2015-11-20 |
1184016826 | Laura Kennedy Flynn | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-03-03 |
1043601131 | Jennifer Polizzano | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2015-02-10 |
1275938250 | Yusimi Sobrino-bonilla | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2014-11-03 |
1639467566 | Komal Saggu | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2011-07-12 |
Find all providers in RIDGEWOOD |
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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.