NICOLE HURTADO (NPI# 1396399747) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396399747 |
| Entity Type | Individual |
| Full Name | NICOLE HURTADO |
| Credential | PA-C |
| Practice Address |
18 W Blackwell St Dover NJ 07801-3841 |
| Mailing Address |
22 Ward Ave Butler NJ 07405-1129 |
| Practice Telephone | 9733283344 |
| Enumeration Date | 2019-07-24 |
| Last Update Date | 2019-07-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MP00535000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
18 W BLACKWELL ST |
| City | DOVER |
| State | NJ |
| Zip Code | 07801-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235310012 | Nichole Cecilia Jenisch | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801-3841 | 2007-11-20 |
| 1417576372 | Hy T Le | Student in an Organized Health Care Education/Training Program | 18 W Blackwell St, Dover, NJ 07801-3841 | 2020-04-10 |
| 1497397699 | Maria F Berke | Social Worker | 18 W Blackwell St, Dover, NJ 07801-3841 | 2019-10-09 |
| 1033764501 | Lauren Cuza | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801-3841 | 2019-08-01 |
| 1093377988 | Julie Valdes | Pharmacist | 18 W Blackwell St, Dover, NJ 07801 | 2019-07-01 |
| 1588131189 | Vito Fernando Zuna | Physician Assistant | 18 W Blackwell St, Dover, NJ 07801-3841 | 2018-11-01 |
| 1619472560 | Wen Zhu | Student in an Organized Health Care Education/Training Program | 18 W Blackwell St, Dover, NJ 07801-3841 | 2018-03-23 |
| 1558876458 | Lina Maria Calderon | Nurse Practitioner | 18 W Blackwell St, Dover, NJ 07801 | 2017-12-13 |
| 1992218473 | Maria Victoria Menzel | Social Worker | 18 W Blackwell St, Dover, NJ 07801-3841 | 2017-11-07 |
| 1003343385 | Philip Goncalves | Physician Assistant | 18 W Blackwell St, Dover, NJ 07801-3841 | 2017-05-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649808395 | Nereida Mendez | Counselor | 18 W. Blackwell St, Dover, NJ 07801 | 2020-03-30 |
| 1255968368 | Lyla H Azzam | Student in an Organized Health Care Education/Training Program | Zufall Health Center, 18 West Blackwell Street, Dover, NJ 07801 | 2020-03-26 |
| 1124675335 | Briana Marsich | Occupational Therapist | 65 North Susses Street, Dover, NJ 07801 | 2019-08-22 |
| 1285281352 | Health In Code, Inc | Physiological Laboratory | 2 East Blackwell Street, Suite 24, Dover, NJ 07801 | 2019-08-22 |
| 1356739007 | Erik Scott Dickerson | Dentist | 25/27 Dickerson Street, Dover, NJ 07801 | 2015-01-05 |
| 1457506057 | Lauren S Majors | Nurse Practitioner | 18 W. Blackwell St., Dover, NJ 07801 | 2008-11-24 |
| 1306012182 | S M Golam Kibrea | Internal Medicine | 170 Prospect Ave, Suite 6, Hackensack, NJ 07801 | 2008-05-01 |
| 1396921268 | East Blackwell Chiropractic, Inc | Chiropractor | 2 E Blackwell Street, Dover, NJ 07801 | 2008-01-10 |
| 1427247725 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 100 E Mcfarlan St, Dover, NJ 07801 | 2007-10-23 |
| 1346449469 | Shari Lynn Morton | Occupational Therapy Assistant | 66 North Sussex Street, Dover, NJ 07801 | 2007-07-18 |
| Find all providers in zip 07801 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154887677 | Dana A Kimbrell | Family Medicine | 407 W 7th St, Dover, OH 44622-2813 | 2019-02-20 |
| 1043792328 | Joseph Dean Oliver | Family Medicine | 110 Dublin Dr, Dover, OH 44622-7805 | 2018-09-03 |
| 1962865865 | Shailly Saini | Family Medicine | 200 Banning St Ste 150, Dover, DE 19904-3491 | 2016-03-30 |
| 1326346164 | Spencer Wayne Pinion | Family Medicine | 420 S Reeves Ave Ste B, Dover, OH 44622-2162 | 2011-03-02 |
| 1538349758 | Mostafa Mirhaidari, D.o. | Family Medicine | 707 N Wooster Ave, Dover, OH 44622-2866 | 2007-11-05 |
| 1245370246 | Kathryn L Ford Family Practice Center, L.L.C. | Family Medicine | 870 South Govenors Ave., Dover, DE 19904-4108 | 2007-02-07 |
| 1053419242 | William L Yeaton | Family Medicine | 34 Ash St, Dover, NH 03820-3026 | 2006-09-20 |
| 1942317516 | Subhakararao Medidi | Family Medicine | 14254 State Road 574, Tom Lee Community Health Center, Dover, FL 33527-4312 | 2006-08-23 |
| 1568471670 | Theresa P Little | Family Medicine | 725 S Queen St Ste 4, Dover, DE 19904-3568 | 2006-08-07 |
| 1508874793 | Nadiene Elizabeth Haynes | Family Medicine | 108 Overlook Place, Dover, DE 19901 | 2006-08-03 |
| Find all providers in DOVER | ||||
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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.