IRINA KONZELMANN (NPI# 1417311754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417311754 |
Entity Type | Individual |
Full Name | IRINA KONZELMANN |
Credential | NP |
Practice Address |
136 Mountainview Blvd Basking Ridge NJ 07920-3444 |
Practice Telephone | 9085423300 |
Enumeration Date | 2016-04-13 |
Last Update Date | 2019-01-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
26NJ00622600 | NJ | Allopathic & Osteopathic Physicians |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00622600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
136 MOUNTAINVIEW BLVD |
City | BASKING RIDGE |
State | NJ |
Zip Code | 07920-3444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922036896 | Tammy Huang | Radiology | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2006-06-29 |
1356956452 | Caroline Clark | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2020-09-15 |
1740826528 | Marina Botrous Elfar | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-11-27 |
1346891421 | Rachel Hilary Breitman | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-09-20 |
1275180812 | Carissa Laudati | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2019-08-19 |
1528552858 | Jacqueline Diaz | Pharmacist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2018-06-20 |
1770026742 | Amy Lynn Dahl | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2016-11-23 |
1508247818 | Memorial Sloan Kettering | Pharmacy | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-06-11 |
1821475666 | Olivia Ayse Baldisserotto | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2015-04-30 |
1356767529 | Julie Cristino | Nurse Practitioner | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2014-03-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
Find all providers in zip 07920 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477002343 | Anna Maria Nieves | Nurse Practitioner | 131 Morristown Road, Basking Ridge, NJ 07920-1654 | 2016-10-03 |
1528405073 | Rolinda Cervantes Nwokonko | Nurse Practitioner | 47 Watchung Dr, Basking Ridge, NJ 07920-4238 | 2013-05-23 |
1851894323 | Sheila Mcmenamin | Nurse Practitioner | 8000 Fellowship Rd, Basking Ridge, NJ 07920-3915 | 2018-03-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730780479 | Mae Lynne Tietje | Nurse Practitioner | 3830 Atlantic Ave, Atlantic City, NJ 08401-6080 | 2020-11-07 |
1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
Find all providers with the same taxonomy |
City | BASKING RIDGE |
Zip Code | 07920 |
Please comment or provide details below to improve the information on IRINA KONZELMANN.
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.