DR. DELORES C GAYLE (NPI# 1508886664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508886664 |
| Entity Type | Individual |
| Full Name | DR. DELORES C GAYLE |
| Credential | M.D. |
| Practice Address |
742 Clinton Ave Newark NJ 07108-1202 |
| Practice Telephone | 9733742550 |
| Practice Fax Number | 9733742081 |
| Mailing Telephone | 9733742550 |
| Mailing Fax Number | 9733742081 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA03375400 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0136701 | 05 | |
| NJ | CIGNA HEALTHCARE | PR40303060001 | 01 |
| NJ | AMERIGROUP | 12611 | 01 |
| NJ | AMERICHOICE | 01000100400 | 01 |
| NJ | UNIVERSITY HEALTH PLAN | 14249 | 01 |
| Street Address |
742 CLINTON AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07108-1202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902170277 | Marcia White | Nurse Practitioner | 742 Clinton Ave, Newark, NJ 07108-1202 | 2012-03-02 |
| 1306979323 | Jocelyne Louis-jacques | Pediatrics | 742 Clinton Ave, Newark, NJ 07108-1202 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376129 | Star Medcare PC | Physical Medicine & Rehabilitation | 62 Elizabeth Ave., Newark, NJ 07108 | 2020-11-02 |
| 1326665480 | Deandra Guzman | Counselor | 431-435 18th Avenue, Newark, NJ 07108 | 2020-07-06 |
| 1225579857 | Q and K Home Care Services Limited Liability Company | Community Health Worker | 191 Milford Avenue, Newark, NJ 07108 | 2017-03-15 |
| 1932646783 | Helping Hands Medical Supply | Durable Medical Equipment & Medical Supplies | 351-353 Avon Avenue, Rear Door, Newark, NJ 07108 | 2017-01-31 |
| 1366823619 | Community Action for Independent Living, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mt. Prospect Ave, Newark, NJ 07108 | 2015-06-12 |
| 1346650835 | Adeboye Adeoye Adeniran | Physical Therapy Assistant | 110 Somerset Street, Apt 3a, Newark, NJ 07108 | 2014-05-06 |
| 1952739435 | Unity Global Agency LLC | Home Health | 634 Clinton Avenue, 304, Newark, NJ 07108 | 2013-10-22 |
| 1598996704 | Best Interest Homecare | Chore Provider | 155 1/2d Avon Ave., Newark, NJ 07108 | 2009-08-05 |
| 1790840130 | Rose Garden Nutrition Inc | Pharmacy | 22 Elizabeth Ave, Suite 100, Newark, NJ 07108 | 2006-12-26 |
| 1053494187 | Colden Douglas Raines Jr. | Dentist | 603 Clinton Ave, Newark, NJ 07108 | 2006-10-23 |
| Find all providers in zip 07108 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760962096 | Healthworks Med Group of Texas Darlington P A | Clinic/Center | 14355 Morris Dido Rd, Newark, TX 76071-9501 | 2018-08-16 |
| 1013320530 | Health Star Pediatrics LLC | Clinic/Center | 685 Mount Prospect Ave, Newark, NJ 07104-3151 | 2014-06-03 |
| 1992096978 | Healthworks Med Group of Delaware P A | Clinic/Center | 587 Old Baltimore Pike, Newark, DE 19702-1307 | 2011-04-26 |
| 1871826230 | Empire Medical II, LLC | Clinic/Center | 757 Mt. Prospect Avenue, Newark, NJ 07104-3220 | 2009-09-16 |
| 1437649845 | Citylife Clinics Nj, PC | Clinic/Center | 44 Jones St, Newark, NJ 07103 | 2018-05-11 |
| 1124475991 | Saint Michaels Medical Center Inc. | Clinic/Center | 111 Central Ave, Newark, NJ 07102-1909 | 2016-05-20 |
| 1134506579 | Dr. Mark Glassner | Clinic/Center | 324 E Main St, Suite 202, Newark, DE 19711-7150 | 2015-05-06 |
| 1811207228 | Paredes Medical Associates Pa | Clinic/Center | 337 Bloomfield Ave, Newark, NJ 07107-2405 | 2010-10-19 |
| 1346407715 | Ironbound Medical Services, LLC | Clinic/Center | 221 Chestnut St, Newark, NJ 07105-1558 | 2008-05-21 |
| 1992987937 | Ulysses V Agpaoa Md PC | Clinic/Center | 539 Bloomfield Ave, Newark, NJ 07107-1385 | 2007-11-30 |
| Find all providers in NEWARK | ||||
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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.