MARY JANE FRONDA CASTILLO (NPI# 1508357104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508357104 |
| Entity Type | Individual |
| Full Name | MARY JANE FRONDA CASTILLO |
| Other Name | MARY JANE FRONDA |
| Credential | MSN, CRNP |
| Practice Address |
210 Jack Martin Blvd Ste D-1 Brick NJ 08724-7771 |
| Practice Telephone | 7324585854 |
| Practice Fax Number | 7324588012 |
| Mailing Telephone | 7324585854 |
| Mailing Fax Number | 7324588012 |
| Enumeration Date | 2018-05-20 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00810600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
26NJ00810600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00810600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1541 Route 88, Brick, NJ 087242373 | 7328363200 |
| Street Address |
210 JACK MARTIN BLVD STE D-1 |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7771 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548297237 | Jo E Austin | Nurse Practitioner | 210 Jack Martin Blvd Ste D-1, Brick, NJ 08724-7771 | 2006-06-27 |
| 1639640790 | Dirksen J. Taguiam | Nurse Practitioner | 210 Jack Martin Blvd Ste D-1, Brick, NJ 08724-7771 | 2018-12-16 |
| 1245548551 | Milagros N. Ledesma | Nurse Practitioner | 210 Jack Martin Blvd Ste D-1, Brick, NJ 08724-7771 | 2010-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730729773 | Sara Kovaly | Nurse Practitioner | 1608 Route 88 Ste 250, Brick, NJ 08724-3044 | 2020-01-07 |
| 1124478052 | Melissa Micari | Nurse Practitioner | 226 Greenwood Loop Rd, Brick, NJ 08724-1261 | 2016-06-22 |
| 1609868579 | Anne Catherine Albiez | Nurse Practitioner | 1500 Route 88 W, Brick, NJ 08724-2320 | 2005-08-17 |
| 1548890163 | Maria Coutinho | Nurse Practitioner | 475 Jack Martin Boulevard, Brick, NJ 08724 | 2020-01-23 |
| 1639640790 | Dirksen J. Taguiam | Nurse Practitioner | 210 Jack Martin Blvd Ste D-1, Brick, NJ 08724-7771 | 2018-12-16 |
| 1750625943 | Glenda Soriano Fulo | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2012-11-12 |
| 1023375524 | All Around Senior Care | Nurse Practitioner | 279 Lake Oak Pl., Brick, NJ 08723 | 2012-04-20 |
| 1861729485 | Georgina D Muth-maurelli | Nurse Practitioner | 1640 Highway 88, Suite 201, Brick, NJ 08724-3068 | 2009-11-04 |
| 1811039951 | Colleen Depaul | Nurse Practitioner | 1640 Route 88 Ste 201, Brick, NJ 08724-3068 | 2007-02-13 |
| 1336163716 | Susan Fedoruk | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2006-07-27 |
| Find all providers in BRICK | ||||
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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.