MS. JESSICA LILA PONIATOWSKI (NPI# 1366520389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366520389 |
| Entity Type | Individual |
| Full Name | MS. JESSICA LILA PONIATOWSKI |
| Credential | APRN,BC |
| Practice Address |
510 Hamburg Tpke Suite 201 Wayne NJ 07470-2025 |
| Practice Telephone | 9739421141 |
| Practice Fax Number | 9739427071 |
| Mailing Telephone | 9739421141 |
| Mailing Fax Number | 9739427071 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00090600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
510 HAMBURG TPKE SUITE 201 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2025 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729475 | Cyrus Vosough | Physical Medicine & Rehabilitation | 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025 | 2005-06-02 |
| 1659920700 | Sanjay Raval | Nurse Practitioner | 510 Hamburg Tpke, Wayne, NJ 07470-2025 | 2019-09-10 |
| 1366829392 | Ellen Garfing | Nurse Practitioner | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2015-04-28 |
| 1154665743 | Melissa Gaydos | Nurse Practitioner | 510 Hamburg Tpke, #208, Wayne, NJ 07470-2025 | 2012-11-20 |
| 1982968517 | Russell Samofal | Podiatrist | 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470 | 2012-06-28 |
| 1497072193 | Wayne Cardiology,llc | Internal Medicine | 510 Hamburg Tpke, Suite 107, Wayne, NJ 07470-2025 | 2010-04-21 |
| 1023348281 | Michael Hubert Leonardo | Internal Medicine | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2010-01-10 |
| 1366675357 | Eraibe & Eraiba Internal Medicine | Internal Medicine | 510 Hamburg Tpke, Suit 208, Wayne, NJ 07470-2025 | 2009-08-25 |
| 1477790491 | Wayne Obstetrics & Gynecology Associates P C | Obstetrics & Gynecology | 510 Hamburg Tpke, Suite 202, Wayne, NJ 07470-2025 | 2009-01-13 |
| 1528225315 | Irfan R Farhat | Dentist | 510 Hamburg Tpke, Suit. 105, Wayne, NJ 07470-2025 | 2008-05-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427516244 | Alexis Rae Saley | Nurse Practitioner | 87 Berdan Ave Ste 4, Wayne, NJ 07470-3210 | 2019-03-11 |
| 1881050458 | Andrea Michelle Rivers | Nurse Practitioner | 645 Preakness Ave, Wayne, NJ 07470-2533 | 2016-01-12 |
| 1821482639 | Maria L Colon | Nurse Practitioner | 68 Palmer Dr, Wayne, NJ 07470-2661 | 2015-03-19 |
| 1356621494 | Meliza Garrido | Nurse Practitioner | 154 Beechwood Dr, Wayne, NJ 07470-5614 | 2011-08-21 |
| 1710279534 | Michael Idowu Ojelade | Nurse Practitioner | 67 Bobolink Ct, Wayne, NJ 07470-8450 | 2011-05-12 |
| 1194030882 | Katherine A Hinic | Nurse Practitioner | 300 Pompton Rd, Wpu Health & Wellness Center Overlook South, Wayne, NJ 07470-2103 | 2010-08-18 |
| 1275764623 | Betsy Pendexter | Nurse Practitioner | 1777 Hamburg Tpke Ste 205, Wayne, NJ 07470-5243 | 2009-08-03 |
| 1912545088 | Thrive Solutions P.C. | Nurse Practitioner | 601 Hamburg Tpke Ste 101, Wayne, NJ 07470-2049 | 2019-12-19 |
| 1912416165 | John Ahn | Nurse Practitioner | 224 Hamburg Tpke Rm 4023, Wayne, NJ 07470-2149 | 2017-09-20 |
| 1861873606 | Alliance Physician Services PC | Nurse Practitioner | 3850 2nd St Ste 201, Wayne, MI 48184-1755 | 2015-06-17 |
| Find all providers in WAYNE | ||||
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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.