MR. JEREMY THOMAS GOLDKLANG (NPI# 1467992156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467992156 |
| Entity Type | Individual |
| Full Name | MR. JEREMY THOMAS GOLDKLANG |
| Practice Address |
218 Jay Street Wood Ridge NJ 07075 |
| Mailing Address |
218 Jay Street Wood Ridge NJ 07075-1507 |
| Practice Telephone | 2015665855 |
| Mailing Telephone | 2015665855 |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
218 JAY STREET |
| City | WOOD RIDGE |
| State | NJ |
| Zip Code | 07075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003290420 | Samantha Goldklang | Nurse Practitioner | 218 Jay St, Wood-ridge, NJ 07075 | 2015-07-15 |
| 1891183133 | Meaghan Durham | Specialist/Technologist | 29 Wesmont Drive, Wood Ridge, NJ 07075 | 2015-01-08 |
| 1831473065 | Juan A Castro | Behavioral Analyst | 358 Hackensack Street, D, Wood-ridge, NJ 07075 | 2011-10-06 |
| 1568600443 | Jamea R. Olivari | Dentist | 163 Valley Blouevard, Wood Ridge, NJ 07075 | 2009-01-30 |
| 1518979186 | Theodore Paul Masotti | Pharmacist | 211 Hackensack Street, Wood Ridge, NJ 07075 | 2006-08-12 |
| 1841405008 | Maria Vita Pantano | Family Medicine | 245 Valley Blvd, Wood Ridge, NJ 07075 | 2007-05-11 |
| 1427541929 | Lisandra Quinoy Pena | Dentist | 300 Avalon Dr Unit 3244, Wood Ridge, NJ 07075-1015 | 2018-06-08 |
| 1114324308 | Myong Sun Choe | General Acute Care Hospital | 300 Avalon Dr Unit 3306, Wood Ridge, NJ 07075-1024 | 2014-12-03 |
| 1649539248 | Yihao Jiang | Anesthesiology | 401 Avalon Dr Unit 4212, Wood Ridge, NJ 07075-1059 | 2012-05-16 |
| 1629684451 | Reed Next, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 300 Avalon Dr Unit 3104, Wood Ridge, NJ 07075-1063 | 2020-09-17 |
| Find all providers in zip 07075 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1033710926 | Akshay Chaudhari | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm 4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1124629019 | Shweta Bhagvanbhai Chaudhary | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm No4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1851992150 | Samantha Dickson | Student in an Organized Health Care Education/Training Program | 304 David Ct, Mullica Hill, NJ 08062-1512 | 2020-11-03 |
| 1558960120 | Savannah Jane Potter | Student in an Organized Health Care Education/Training Program | 35 Old Ln, Towaco, NJ 07082-1229 | 2020-10-23 |
| 1528665247 | Famya Khan | Student in an Organized Health Care Education/Training Program | 8 Robin Cir, Princeton Junction, NJ 08550-2244 | 2020-10-06 |
| 1861009599 | Rachael Nicole Romer | Student in an Organized Health Care Education/Training Program | 19 Pinehurst Ct, Blackwood, NJ 08012-5585 | 2020-09-27 |
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| 1871109751 | Garrett Bruce Miller | Student in an Organized Health Care Education/Training Program | 28 E Cohawkin Rd, Clarksboro, NJ 08020-1344 | 2020-09-16 |
| 1861007130 | Melyssa Mera Mandelbaum | Student in an Organized Health Care Education/Training Program | 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103 | 2020-09-13 |
| Find all providers with the same taxonomy | ||||
| City | WOOD RIDGE |
| Zip Code | 07075 |
Please comment or provide details below to improve the information on MR. JEREMY THOMAS GOLDKLANG.
| 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.