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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
Street Address |
214 COTTER AVE |
City | NEPTUNE |
State | NJ |
Zip Code | 07753-3702 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
1124645148 | Charlotte Emily Parker | Audiologist | 3700 Nj-33, Suite 101, Neptune City, NJ 07753 | 2020-06-26 |
1023667896 | Joseph Renninger | Psychologist | 2100 Route 33 Suite 9/10, Neptune, NJ 07753 | 2019-09-05 |
1952950800 | Matthew Aaron Brigle | Psychologist | 2100 Nj-33, Suite 9-10, Neptune City, NJ 07753 | 2019-09-04 |
1285292110 | Joseph F Mcnamara | Nurse Practitioner | 1945 Nj State Highway 33, Neptune, NJ 07753 | 2019-06-05 |
1679046601 | Richard Valderas Penalosa Jr. | Nurse Practitioner | 409 Locust St, Neptune, NJ 07753 | 2019-01-02 |
1528539822 | Neptune Rx LLC | Pharmacy | West Lake Pharmacy, 1828 West Lake Avenue, Neptune, NJ 07753 | 2018-12-12 |
1053880286 | Hmh Hospitals Corporation | Clinic/Center | 1200 Jumping Brook Rd., Bldg 5, Ste 201, Neptune, NJ 07753 | 2018-11-16 |
1972084424 | Melissa Hillebrecht | Psychologist | 2100 Nj-33 Suite 9-10, Neptune, NJ 07753 | 2018-08-23 |
Find all providers in zip 07753 |
Taxonomy Code | 3747A0650X |
Grouping | Nursing Service Related Providers |
Classification | Technician |
Specialization | Attendant Care Provider |
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] |
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 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on MR. SAMUEL FANN.
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.