DWIGHT BOSTIC JR. (NPI# 1477067437) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477067437 |
| Entity Type | Individual |
| Full Name | DWIGHT BOSTIC JR. |
| Practice Address |
86 S Harrison St Ste A East Orange NJ 07018-1748 |
| Mailing Address |
110 Halcyon Pl Roselle NJ 07203-1512 |
| Practice Telephone | 9733247879 |
| Mailing Telephone | 9088757860 |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2017-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | NJ | Other Service Providers |
| Street Address |
86 S HARRISON ST STE A |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-1748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326505447 | Larry Burroughs | Social Worker | 86 S Harrison St Ste A, East Orange, NJ 07018-1748 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598257115 | Amazing Strides | Case Manager/Care Coordinator | 134 Greenwood Ave, East Orange, NJ 07017-5107 | 2018-05-30 |
| 1629565163 | Gloria Thora Johnson Appleton | Case Manager/Care Coordinator | 40 Watson Ave, East Orange, NJ 07018-3304 | 2018-04-19 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| 1265803704 | Esther Park | Case Manager/Care Coordinator | 49 Evergreen Place, East Orange, NJ 07018 | 2015-10-09 |
| 1174906127 | Qiana Laviena | Case Manager/Care Coordinator | 377 Dodd St, 2nd Floor, East Orange, NJ 07017-1701 | 2015-07-08 |
| 1306063557 | Derlan Enterprises | Case Manager/Care Coordinator | 498 William St, East Orange, NJ 07017-2214 | 2007-04-19 |
| 1780220376 | Terrell Baasit | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-11-19 |
| 1174164396 | Estefania Ailin Carmelino | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-09-30 |
| 1518513050 | Caroline Ortega | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-08-12 |
| 1063078822 | Aylin Kose | Case Manager/Care Coordinator | 86 S Harrison St, East Orange, NJ 07018-1748 | 2019-05-16 |
| Find all providers in EAST ORANGE | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
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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.