JOHANNA CECILIO (NPI# 1336697895) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336697895 |
| Entity Type | Individual |
| Full Name | JOHANNA CECILIO |
| Practice Address |
456 Prospect Ave West Orange NJ 07052-4112 |
| Mailing Address |
328 W Saint Georges Ave Linden NJ 07036-5638 |
| Practice Telephone | 9737316767 |
| Mailing Telephone | 9089252273 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2016-09-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00407800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
456 PROSPECT AVE |
| City | WEST ORANGE |
| State | NJ |
| Zip Code | 07052-4112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629240668 | Claudia Rivera-galindo | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2008-03-31 |
| 1679034003 | Paul Benjamin Waksman | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2019-03-28 |
| 1285183350 | Andrew Christopher Konopacki | Physician Assistant | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2016-09-29 |
| 1558775825 | Peiyun Chang | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052 | 2014-06-16 |
| 1194136697 | Bishoy Wassef | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2014-05-19 |
| 1760829006 | Jessica Akunna | Family Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2013-05-28 |
| 1114230232 | Ernest Fontecha | Internal Medicine | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2010-07-18 |
| 1194045914 | Care Station Medical Group, Pa | General Practice | 456 Prospect Ave, West Orange, NJ 07052-4112 | 2010-06-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730278 | Robert Jason Lipka | Pharmacist | Eagle Rock Pharmacy, 470 Pleasant Valley Way, West Orange, NJ 07052 | 2020-08-12 |
| 1790317378 | Attain & Gain Counseling, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 15 Ralph Road, West Orange, NJ 07052 | 2020-02-11 |
| 1508336140 | Total Family Solutions, LLC | Community/Behavioral Health | 80 Main Street Suite 410, West Orange, NJ 07052 | 2018-11-27 |
| 1639660202 | Valeria Ripa | Student in an Organized Health Care Education/Training Program | 141 Old Short Hills Rd Apt 7, West Orange, NJ 07052 | 2018-05-19 |
| 1316441967 | Ariel Yehdua Pedoeem | Student in an Organized Health Care Education/Training Program | 139 Riverside Drive, Binghamton, NY 07052 | 2018-03-20 |
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1962911578 | Anchor Behavioral Solutions LLC | Community/Behavioral Health | 59 Main St Ste 310, West Orange, NJ 07052 | 2017-09-26 |
| 1710400411 | Rohma Shaikh | Student in an Organized Health Care Education/Training Program | 115 Old Short Hills Road, Apt 570, West Orange, NJ 07052 | 2017-07-25 |
| 1326571811 | Celestina Enuma | Clinical Nurse Specialist | 200 Mt. Pleasant Ave. Apt O12, West Orange, NJ 07052 | 2017-04-11 |
| 1073065777 | Livia Derdova | Optometrist | 101 Old Short Hills Rd., Suite 430, West Orange, NJ 07052 | 2016-10-28 |
| Find all providers in zip 07052 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043683626 | Leigh C. Mosquera | Physician Assistant | 741 Northfield Ave, West Orange, NJ 07052-1174 | 2015-11-04 |
| 1124456561 | Garland Lee | Physician Assistant | 347 Mount Pleasant Ave, Suite 205, West Orange, NJ 07052-2744 | 2013-10-22 |
| 1003954074 | Alisa G. Cullen | Physician Assistant | 745 Northfield Ave, Suite 4, West Orange, NJ 07052-1144 | 2007-02-02 |
| 1154428746 | Jason Tse | Physician Assistant | 61 Main St, Suite B, West Orange, NJ 07052-5311 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST ORANGE |
| Zip Code | 07052 |
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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.