NATASHA NICOLE GOULET (NPI# 1356861900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356861900 |
| Entity Type | Individual |
| Full Name | NATASHA NICOLE GOULET |
| Credential | DO |
| Practice Address |
3 Cooper Plz Rm 200 Camden NJ 08103-1438 |
| Practice Telephone | 8563422000 |
| Mailing Telephone | 8563422000 |
| Enumeration Date | 2017-06-25 |
| Last Update Date | 2020-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MB10825900 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 401 Haddon Ave, Camden, NJ 081031505 | 8567577904 |
| Street Address |
3 COOPER PLZ RM 200 |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346221629 | Nora Jean Rhoads Vizzachero | Nurse Practitioner | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2005-11-14 |
| 1073135190 | Amanda Malik | Obstetrics & Gynecology | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2020-05-12 |
| 1497393961 | Amy Marie Kerr | Speech-Language Pathologist | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2019-12-16 |
| 1871143701 | Wendy Shinkarow | Occupational Therapist | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2019-09-12 |
| 1932758455 | Marilyn Miranda Clifford | Registered Nurse | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2019-09-06 |
| 1811451156 | Lori Ann Wells | Genetic Counselor, MS | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2019-01-30 |
| 1912478439 | Allison Michelle Stec | Nurse Practitioner | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2018-12-10 |
| 1952753709 | Kim Tran Lopez | Pediatrics | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2016-07-05 |
| 1255782348 | Amanda Pacheco | Student in an Organized Health Care Education/Training Program | 3 Cooper Plz Rm 200, 401 Haddon Avenue, Camden, NJ 08103-1438 | 2016-06-29 |
| 1003191305 | Jodi Levy | Pediatrics | 3 Cooper Plz Rm 200, Camden, NJ 08103 | 2011-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
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| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982178067 | Health Advocates 360, Pa | Pediatrics | 1626 Copewood St, Camden, NJ 08103-3001 | 2019-01-11 |
| 1639681307 | Strong Mind Strong Body, P.C. | Pediatrics | 3 Jacobs Ave, Camden, ME 04843-2009 | 2017-11-02 |
| 1679714935 | Elsayed O Abdelsalam | Pediatrics | 120 Old Camden Road, Suite B, Camden, DE 19934 | 2009-03-17 |
| 1003083312 | Sharon M Kaus | Pediatrics | 3 Cooper Plaza, Suite 200, Cooper Pediatrics, Camden, NJ 08103 | 2008-05-15 |
| 1942404025 | Deborah Lee Staple | Pediatrics | 90 Taberg Road, Camden, NY 13316 | 2007-06-13 |
| 1831118124 | Kai Kit Leong | Pediatrics | 817 Federal Street, Suite 300, Camden, NJ 08103 | 2006-07-18 |
| 1922071935 | Christine Beachum Sellers | Pediatrics | 1346 Haile Street, Camden, SC 29020 | 2006-02-09 |
| 1639179591 | Earl W Bryant | Pediatrics | 1346 Haile St, Camden, SC 29020 | 2005-07-21 |
| 1245859214 | Kylee Keenan Brech | Pediatrics | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-04-10 |
| 1952753709 | Kim Tran Lopez | Pediatrics | 3 Cooper Plz Rm 200, Camden, NJ 08103-1438 | 2016-07-05 |
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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.