MRS. EUN JUNG KWAK (NPI# 1386975118) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386975118 |
| Entity Type | Individual |
| Full Name | MRS. EUN JUNG KWAK |
| Credential | N.P |
| Practice Address |
21 Lockhern Dr Livingston NJ 07039-6224 |
| Practice Telephone | 6462298344 |
| Mailing Telephone | 6462298344 |
| Enumeration Date | 2010-01-18 |
| Last Update Date | 2010-01-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303368 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
21 LOCKHERN DR |
| City | LIVINGSTON |
| State | NJ |
| Zip Code | 07039-6224 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184111 | Dentistry With A Smile, Inc. | Durable Medical Equipment & Medical Supplies | 1100 Town Center Way, 14-a-ii, Livingston, NJ 07039 | 2020-11-03 |
| 1326692104 | Amy Beth Lipsey | Social Worker | Amy Lipsey, 301 South Livingston Avenue, Livingston, NJ 07039 | 2019-07-30 |
| 1427543412 | Bodypro Physical Therapy, LLC | Physical Therapist | 5 Country Club Ct, Livingston, NJ 07039 | 2018-06-22 |
| 1538665245 | Kushal Shukla | Student in an Organized Health Care Education/Training Program | 20 Canoe Brook Dr, Livingston, NJ 07039 | 2018-04-02 |
| 1629594643 | Northeast Pulmonary and Sleep Medical LLC | Specialist | 506 Regent Street, Suite A, Livingston, NJ 07039 | 2017-08-22 |
| 1184154098 | Snf Old Short Hills Operating Company, LLC | Skilled Nursing Facility | 348 East Cedar Street, Livingston, NJ 07039 | 2017-06-13 |
| 1093254690 | Suzanne M Verbesky Dpm LLC | Clinic/Center | 44 West Mcclellan Avenue, Livingston, NJ 07039 | 2017-02-15 |
| 1649723743 | Essex County Weightloss, LLC | Internal Medicine | 5 Regent St Ste 509, Livingston, NJ 07039 | 2016-07-26 |
| 1912352824 | Grant Arzumanov | Student in an Organized Health Care Education/Training Program | 94 Old Short Hills Rd., Livingston, NJ 07039 | 2016-04-28 |
| 1891158671 | Journey's Eve Counseling LLC | Counselor | 2 Northfield Rd, 210a, Livingston, NJ 07039 | 2016-03-30 |
| Find all providers in zip 07039 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215358395 | Courtney Taylor | Nurse Practitioner | 29565 Frost Road, Suite C, Livingston, LA 70754-7427 | 2013-12-17 |
| 1932348596 | Kristine M Pritsiolas | Nurse Practitioner | 13 Pebble Beach Dr, Livingston, NJ 07039-8206 | 2009-02-05 |
| 1134373327 | Faresich Partner Process, LLC | Nurse Practitioner | 311 South Livingston Avenue, Inglemoor Rehabilitation and Care Center, Livingston, NJ 07039 | 2008-11-14 |
| 1386891687 | Dewanna R Christian | Nurse Practitioner | 29437 S Frost Rd, Ste 7, Livingston, LA 70754-1910 | 2008-08-19 |
| 1053435230 | Vivian Ray Sullivan | Nurse Practitioner | 255 Rainbow Dr # 15504, Livingston, TX 77399-0001 | 2007-03-16 |
| 1336785955 | Nicole Bratchenko | Nurse Practitioner | 94 Old Short Hills Rd Ste 1, Livingston, NJ 07039-5668 | 2019-11-19 |
| 1285106526 | Gina Marie Morris | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2018-12-27 |
| 1114494184 | Kathleen Phillips | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2018-10-29 |
| 1740770189 | Mary Frances Murphy | Nurse Practitioner | 15 Microlab Rd, Livingston, NJ 07039-1623 | 2018-05-10 |
| 1710490305 | Silvia Calderon | Nurse Practitioner | 94 Old Short Hills Rd, Livingston, NJ 07039-5672 | 2017-11-06 |
| Find all providers in LIVINGSTON | ||||
| City | LIVINGSTON |
| Zip Code | 07039 |
Please comment or provide details below to improve the information on MRS. EUN JUNG KWAK.
| 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.