CAROL ANN BOODY DEUTSCH


Address: 1375 River Rd, Unit 1e, Edgewater, NJ 07020-1425
Phone: 2012243371

CAROL ANN BOODY DEUTSCH (NPI# 1518045244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518045244
Entity Type Individual
Full Name CAROL ANN BOODY DEUTSCH
Credential NURSE PRACTITIONER
Practice Address 1375 River Rd
Unit 1e
Edgewater
NJ 07020-1425
Practice Telephone 2012243371
Practice Fax Number 2012243879
Mailing Telephone 2012243371
Mailing Fax Number 2012243879
Enumeration Date 2006-11-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
F400549-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY NP LICENSE NUMBER F400549-1 01

Office Location

Street Address 1375 RIVER RD
UNIT 1E
City EDGEWATER
State NJ
Zip Code 07020-1425

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NPI Name Taxonomy Address Enumeration
1851737167 One Hudson Medical Associates Non-Pharmacy Dispensing Site 1829 Hudson Park, Edgewater, NJ 07020 2013-05-14
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1518188622 Barbara Nan Altman Social Worker 309 Thornton Court, Edgewater, NJ 07020 2007-05-02
1124173950 Luxottica of America Inc. Eyewear Supplier (Equipment, not the service) 70 The Promenade Ste C5a, Edgewater, NJ 07020 2007-01-24
1104983717 Edgewater Pediatrics PC Pediatrics 115 River Road, Suite 1003 Building #10, Edgewater, NJ 07020 2007-01-02
1255402293 Skyview Dental Center LLP Dentist 880 River Road, 2nd Floor, Edgewater, NJ 07020 2006-11-13
1043228588 Irfan Admani Internal Medicine 103 River Road, Edgewater, NJ 07020 2006-08-03
1851316319 Duane Reade Durable Medical Equipment & Medical Supplies 11 Edgewater Towne Ctr, Edgewater, NJ 07020 2006-07-13
1679502215 968 River Road Radiology Clinic/Center 968 River Road, Edgewater, NJ 07020 2006-07-03
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City EDGEWATER
Zip Code 07020

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Dataset Information

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.

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