DEIDRA G PARKS (NPI# 1417241639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417241639 |
| Entity Type | Individual |
| Full Name | DEIDRA G PARKS |
| Credential | CPNP |
| Practice Address |
125 Essex St Hackensack NJ 07601-4027 |
| Mailing Address |
105 White Pond Rd Waldwick NJ 07463-1349 |
| Practice Telephone | 2016462756 |
| Mailing Telephone | 2014470548 |
| Enumeration Date | 2011-06-06 |
| Last Update Date | 2011-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | NJ | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | NPI# | 1235317298 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508012352 | Deidra Dawn Parks | Speech-Language Pathologist | 16721 E Kendall Rd, Mount Vernon, IL 62864-2077 | 2008-08-12 |
| Street Address |
125 ESSEX ST |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-4027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184812562 | City of Hackensack | Public Health or Welfare | 215 State St, Hackensack, NJ 07601-5522 | 2007-10-10 |
| 1184721425 | Hackensack University Medical Center Harp | Public Health or Welfare | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043861339 | County of Somerset | Public Health or Welfare | 27 Warren Street, 3rd Floor, Somerville, NJ 08876 | 2019-09-27 |
| 1205329281 | County of Bergen Nj | Public Health or Welfare | 220 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2018-06-13 |
| 1053808741 | County of Union | Public Health or Welfare | 40 Parker Rd, Elizabeth, NJ 07208-2148 | 2018-04-18 |
| 1356705040 | County of Middlesex | Public Health or Welfare | 596 Jersey Ave, Suite B, New Brunswick, NJ 08901 | 2016-04-08 |
| 1649681461 | Thomas Frank | Public Health or Welfare | 124 Cedar Dr, Colts Neck, NJ 07722-1673 | 2014-05-14 |
| 1194135293 | Princeton A Municipal Organization | Public Health or Welfare | 45 Stockton St, Suzanne Patterson Building, Princeton, NJ 08540-6812 | 2014-04-29 |
| 1710315858 | Township of West Caldwell | Public Health or Welfare | 30 Clinton Rd, West Caldwell, NJ 07006-6704 | 2013-10-29 |
| 1629342696 | Salem County Dept. of Health and Human Services | Public Health or Welfare | 110 5th Street, Suite 500, Salem, NJ 08079-1912 | 2012-03-08 |
| 1376812628 | Jmbl | Public Health or Welfare | 18 Hamilton St, Ste 1, Bound Brook, NJ 08805-1768 | 2011-12-15 |
| 1376858365 | Vineland Health Department Public Health Nursing | Public Health or Welfare | 610 E Montrose St, Suite 1, Vineland, NJ 08360-4660 | 2010-08-13 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DEIDRA G PARKS.
| 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.