FUNCTIONAL MEDICINE CENTERS (NPI# 1487185401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487185401 |
| Entity Type | Organization |
| Organization Name | FUNCTIONAL MEDICINE CENTERS |
| Practice Address |
481 Hackensack Ave Suite 2a Hackensack NJ 07601-6330 |
| Practice Telephone | 2018800685 |
| Practice Fax Number | 2013424346 |
| Mailing Telephone | 2018800685 |
| Mailing Fax Number | 2013424346 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2017-03-22 |
| Authorized Official Name | KATRINA STEVENS (OFFICE SUPERVISOR) |
| Authorized Official Telephone | 2018800685 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00080100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Functional Medicine Centers of Nashville | 5409 Maryland Way, Suite 120, Brentwood, TN 37027 |
| Street Address |
481 HACKENSACK AVE SUITE 2A |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-6330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699012500 | Gary Esoldi | Dentist | 481 Hackensack Ave, 1st Floor, Hackensack, NJ 07601-6304 | 2013-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356992234 | Lauren Ismaiel | Nurse Practitioner | 211 Essex St Ste 204, Hackensack, NJ 07601-3245 | 2019-09-23 |
| 1780091660 | Sun-jung Choi | Nurse Practitioner | 260 Union St, Hackensack, NJ 07601-4203 | 2014-07-12 |
| 1720321052 | Mylene Alberto | Nurse Practitioner | 211 Essex St, Suite 204, Hackensack, NJ 07601-3231 | 2013-04-04 |
| 1376744391 | Catherine J Tendler | Nurse Practitioner | 395 Main St, Hackensack, NJ 07601-5806 | 2007-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
| 1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
| 1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
| 1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
| 1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
| 1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
| 1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
| 1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on FUNCTIONAL MEDICINE CENTERS.
| 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.