MARY ELLEN SPOHN (NPI# 1497175996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497175996 |
| Entity Type | Individual |
| Full Name | MARY ELLEN SPOHN |
| Credential | MPA-C |
| Practice Address |
750 Valley Brook Ave Lyndhurst NJ 07071-1301 |
| Mailing Address |
111 Galway Pl 300 Teaneck NJ 07666-3640 |
| Practice Telephone | 2018960900 |
| Mailing Telephone | 2018339500 |
| Mailing Fax Number | 2018620095 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2015-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00322800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
750 VALLEY BROOK AVE |
| City | LYNDHURST |
| State | NJ |
| Zip Code | 07071-1301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326187949 | Jennifer Lee Crawford | Physician Assistant | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2007-02-06 |
| 1003430828 | Dana Marie Stone | Nurse Practitioner | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2020-06-08 |
| 1619218542 | First Care Medical Group Inc | Non-Pharmacy Dispensing Site | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2013-03-01 |
| 1235361833 | First Care Medical Group, Inc | Internal Medicine | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2009-08-14 |
| 1689852428 | William F Schmalz Jr. | Surgery | 750 Valley Brook Ave, Lyndhurst, NJ 07071-1301 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316504905 | Sarah West | Counselor | 1050 Well St West, Suite 310, Lyndhurst, NJ 07071 | 2019-05-20 |
| 1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
| 1881181733 | Vein Care Associates of Nj Inc. | Specialist | 576 Valley Brook Ave., Suite 2, Lyndhurst, NJ 07071 | 2018-04-17 |
| 1952815789 | Michael Zakko | Acupuncturist | 480 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2017-12-01 |
| 1083131544 | Core Surgery Center LLC | Clinic/Center | 256 Stuyvesant Avenue, Lyndhurst, NJ 07071 | 2017-08-25 |
| 1013446434 | Eva Pena | Counselor | 516 Valleybrook Ave., Lyndhurst, NJ 07071 | 2017-06-08 |
| 1578973392 | Boston Medical Group-new Jersey, P.a. | Urology | 1050 Wall Street West, Suite 120, Lyndhurst, NJ 07071 | 2014-05-01 |
| 1962849935 | Guardian Intraoperative Neuromomitoring | Clinic/Center | 576 Valley Brook Ave, Lyndhurst, NJ 07071 | 2013-05-30 |
| 1568736106 | Metro Anesthesia Associates LLC | Specialist | 256 Stuyvesant Ave, Lyndhurst, NJ 07071 | 2012-02-29 |
| 1215235437 | Sanil Gandhi | Pharmacist | 321 Wilson Avenue, Lyndhurst, NJ 07071 | 2011-03-11 |
| Find all providers in zip 07071 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013983154 | Sarah E Jakubowski | Physician Assistant | 5187 Mayfield Rd, Ste 102, Lyndhurst, OH 44124 | 2006-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
| 1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
| 1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
| 1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
| 1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
| 1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
| 1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
| 1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
| Find all providers with the same taxonomy | ||||
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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.