MARY TERESA DESANE (NPI# 1497058275) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497058275 |
| Entity Type | Individual |
| Full Name | MARY TERESA DESANE |
| Credential | APN-BC |
| Practice Address |
725 Airport Rd Lakewood NJ 08701-5968 |
| Mailing Address |
4 Upton Pl Ocean NJ 07712-3708 |
| Practice Telephone | 7322761510 |
| Practice Fax Number | 7323635537 |
| Mailing Telephone | 7329222078 |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2011-10-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
26NJ00299700 | NJ | Nursing Service Providers |
| Street Address |
725 AIRPORT RD |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5968 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194790899 | Marina Kharaz | Psychiatry & Neurology | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2006-02-17 |
| 1144837303 | Kimberly Rudolph | Social Worker | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2020-09-30 |
| 1619509577 | Kebbeh G. Kromah-ansah | Social Worker | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2020-02-09 |
| 1144862145 | Douglas Elliott Cresson | Social Worker | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-10-10 |
| 1881242584 | Ruth Marie De Marco | Licensed Practical Nurse | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-08-27 |
| 1003460098 | Jill Elizabeth Stroehlein | Counselor | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-07-28 |
| 1205480399 | Jennifer Elizabeth Noble | Counselor | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-07-28 |
| 1689226326 | Jaclyn Ciampolillo | Counselor | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-07-12 |
| 1548829690 | Alissa Kathryn Williams | Case Manager/Care Coordinator | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-06-12 |
| 1588228969 | Adeolu John Ajiboye | Counselor | 725 Airport Rd, Lakewood, NJ 08701-5968 | 2019-05-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396292108 | Elizabeth Delancey-niksa | Registered Nurse | 1209 Andrews Ave, Lakewood, OH 44107-2403 | 2016-09-09 |
| 1881036093 | Patricia Daughtrey | Registered Nurse | 5024 3/4 Hayter Ave, Lakewood, CA 90712-3105 | 2013-07-29 |
| 1427137140 | Vickie Burris | Registered Nurse | 20842 Elaine Ave, Lakewood, CA 90715-1502 | 2006-11-03 |
| 1326697319 | Oghenekaro Agarin | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2019-09-11 |
| 1265725212 | Sheila Ann Mcdonough | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-05-24 |
| 1265725428 | Dave William Stevens | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-05-20 |
| 1497059323 | Shari Lyn Mcconnon | Registered Nurse | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2011-01-07 |
| 1578600029 | Janet Gardner | Registered Nurse | Preferred Behavioral Health, 700 Airport Road, Lakewood, NJ 08701 | 2007-01-31 |
| 1386724938 | Colleen Elizabeth Gaul | Registered Nurse | 260 S Kipling St, Lakewood, CO 80226-1086 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720502792 | Rola Behavioral Services LLC | Registered Nurse | 1676 North Olden Ave, Bldg 1, Ewing, NJ 08638 | 2017-08-01 |
| 1093087249 | Lisa M Ewan | Registered Nurse | 875 Kings Hwy Ste 100, West Deptford, NJ 08096-3165 | 2012-02-03 |
| 1841429255 | Shana Elizabeth Careatti | Registered Nurse | 2500 Mcclellan Ave, Suite 300, Pennsauken, NJ 08109-4613 | 2009-07-07 |
| 1891921300 | Barbara Jane Taylor | Registered Nurse | 40 Saint Andrews Ct, Westampton, NJ 08060-4721 | 2009-06-10 |
| 1164606869 | Susan Lee Allender | Registered Nurse | 385 Tremont Ave # Ward12b, East Orange, NJ 07018-1023 | 2007-12-18 |
| 1225221781 | Kathleen Joan Mencher | Registered Nurse | 464 Academy St, South Orange, NJ 07079-1839 | 2007-08-19 |
| 1801005491 | Carolyn Pierce Buckelew | Registered Nurse | 79 Hilliard Rd, Old Bridge, NJ 08857-1535 | 2007-05-21 |
| 1295958296 | Susan Gragen Fingerhut | Registered Nurse | 2250 Chapel Ave W Ste 100, Cherry Hill, NJ 08002-2051 | 2007-04-10 |
| 1912021197 | Carmen M. Rosado | Registered Nurse | 100 1st St Ste 203, Hackensack, NJ 07601-2154 | 2007-03-16 |
| 1467523100 | Maria Simone | Registered Nurse | 2201 Mountain Ave, Scotch Plains, NJ 07076-1303 | 2006-11-13 |
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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.