MR. SAMUEL FANN


Address: 214 Cotter Ave, Neptune, NJ 07753-3702
Phone: 7326824272

MR. SAMUEL FANN (NPI# 1477173144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477173144
Entity Type Individual
Full Name MR. SAMUEL FANN
Practice Address 214 Cotter Ave
Neptune
NJ 07753-3702
Practice Telephone 7326824272
Enumeration Date 2020-04-22
Last Update Date 2020-04-22
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers

Office Location

Street Address 214 COTTER AVE
City NEPTUNE
State NJ
Zip Code 07753-3702

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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1174156715 Melinda Pearl Sheppard Technician 7 Acme Pl, Hillside, NJ 07205-2617 2020-02-21
1952934705 Monica G Perezlopez Technician 358 Rolling Ridge Road, Montague, NJ 07827 2020-02-20
1750923959 Patricia Ann Benjamino Technician 8 Poplar Street, Jackson, NJ 08527 2019-10-09
1699326074 Rose Latimore Technician 79 Lincoln St, Newark, NJ 07103-3833 2019-09-26
1013566066 Antonia Gramuglia Technician 284 Reichelt Rd, New Milford, NJ 07646-2217 2019-09-11
1194374504 Marsha J Brown Technician 27 Brampton St, Galloway, NJ 08205 2019-09-09
1356990782 Lucy Dimeglio Technician 17 Amberlands Court, Lakewood, NJ 08701 2019-09-09
1861040867 Senora Hines Technician 83 Halstead St, Newark, NJ 07106-1139 2019-09-03
1629626130 Daniel Louis Milford Technician 56 Hosford Avenue, Leonardo, NJ 07737 2019-08-28
1568019875 Dawneen Eleanor Richardson Technician 5 Karemark Dr, Burlington, NJ 08016-4126 2019-08-21
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Competitor

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City NEPTUNE
Zip Code 07753

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Dataset Information

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.

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