MS. AZIZA LEE JADALLAH (NPI# 1487261285) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487261285 |
| Entity Type | Individual |
| Full Name | MS. AZIZA LEE JADALLAH |
| Credential | PA-C |
| Practice Address |
1925 Pacific Ave Atlantic City NJ 08401-6713 |
| Mailing Address |
1012 Bally Bunion Dr Egg Harbor City NJ 08215-5104 |
| Practice Telephone | 6093454000 |
| Mailing Telephone | 8023092330 |
| Enumeration Date | 2020-09-25 |
| Last Update Date | 2020-10-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00584100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 72 W Jimmie Leeds Rd, Galloway, NJ 082059406 | 6096779729 |
| Street Address |
1925 PACIFIC AVE |
| City | ATLANTIC CITY |
| State | NJ |
| Zip Code | 08401-6713 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053310615 | Atlantic Pathologists PC | Pathology | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2005-07-17 |
| 1336746882 | Lorraine Isler Alcantara | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-10-07 |
| 1336757426 | Areej Lalani | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-15 |
| 1841817947 | Anum Shoaib Khan | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-06 |
| 1205453545 | Shil Shah | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-07-02 |
| 1700415015 | Maryam Hussain | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-07 |
| 1518596527 | Saima Mili | Student in an Organized Health Care Education/Training Program | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-04-02 |
| 1508492737 | Elizabeth Parks | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-03-19 |
| 1588297378 | Aneta Savine | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-02-19 |
| 1154952018 | Elaina M Nixon | Nurse Practitioner | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2020-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1346716834 | Q Pharma Inc | Non-Pharmacy Dispensing Site | 3830 Atlantic Avenue, Atlantic City, NJ 08401 | 2018-10-23 |
| 1922597947 | Kara Nicole Bonsera | Nurse Practitioner | 1801 Atlantic Ave Fl 3, Atlantic City, NJ 08401 | 2018-05-04 |
| 1437605656 | John Brooks Recovery Center, A New Jersey Non-profit Corporation | Clinic/Center | 1931 Bacharach Blvd, Atlantic City, NJ 08401 | 2016-08-28 |
| 1265874051 | Mary K. Wilsbach | Social Worker | 1401 Atlantic Ave.suite 2200, Healthplex, Atlanticare Ambulatory Care Services;, Atlantic City, NJ 08401 | 2013-07-23 |
| 1326388133 | Atlantic City Board of Education | Local Education Agency (LEA) | 1300 Atlantic Avenue, 5th Floor, Atlantic City, NJ 08401 | 2013-02-15 |
| 1972818656 | Mittal H. Patel | Pharmacist | 1723 Pacific Ave, Atlantic City, NJ 08401 | 2010-08-18 |
| 1689803900 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2109 Atlantic Ave., Ste. 1016, Atlantic City, NJ 08401 | 2009-07-08 |
| 1750536850 | Joel G. Weiss | Dentist | 3822 Ventnor Ave, Atlantic City, NJ 08401 | 2008-11-18 |
| 1982879631 | Angela Butcher | Nurse's Aide | 401 North Martin Luthur King Blvd, Atlantic City, NJ 08401 | 2008-04-24 |
| Find all providers in zip 08401 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295342459 | Keval Patel | Physician Assistant | 635 N Dover Ave, Atlantic City, NJ 08401-1021 | 2020-09-30 |
| 1366060550 | Zachary Sakena | Physician Assistant | 1925 Pacific Ave # 8, Atlantic City, NJ 08401-6713 | 2020-07-14 |
| 1811496417 | Patricia Mullane Walsh | Physician Assistant | 1809 Pacific Ave Fl 3, Atlantic City, NJ 08401-6803 | 2018-02-08 |
| 1619436912 | Chiamaka Nwangwu | Physician Assistant | 1301 Atlantic Ave, Atlantic City, NJ 08401-7247 | 2019-03-16 |
| 1912426784 | Jamie Nichole Halapchuk | Physician Assistant | 1925 Pacific Ave Fl 8, Atlantic City, NJ 08401-6713 | 2017-09-13 |
| 1629515358 | Julia Jackson | Physician Assistant | 1925 Pacific Ave Fl 8, Atlantic City, NJ 08401-6713 | 2017-01-19 |
| 1487106688 | Alexandra Lee Gregory | Physician Assistant | 1925 Pacific Ave, Atlantic City, NJ 08401-6713 | 2016-11-04 |
| 1407054364 | Mary Ellen Lewis | Physician Assistant | 801 Boardwalk, Atlantic City, NJ 08401-7509 | 2007-07-03 |
| 1134198724 | Michael L. Lichardi | Physician Assistant | 1925 Pacific Avenue, Atlanticare Regional Medical Center, Atlantic City, NJ 08401 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
| Find all providers with the same taxonomy | ||||
| City | ATLANTIC CITY |
| Zip Code | 08401 |
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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.