CORDERO JACKSON (NPI# 1528576899) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528576899 |
| Entity Type | Individual |
| Full Name | CORDERO JACKSON |
| Credential | BSN RN |
| Practice Address |
624 Dr Martin Luther King Jr Blvd Apt 9 Newark NJ 07102-1254 |
| Practice Telephone | 9176578363 |
| Mailing Telephone | 9176578363 |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2018-01-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WS0200X |
Registered Nurse Specialization: School |
723035 | NY | Nursing Service Providers |
| Street Address |
624 DR MARTIN LUTHER KING JR BLVD APT 9 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 163WS0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807284 | Paige Dolan | Registered Nurse | 24 Dolphin Dr, Newark, DE 19702-4767 | 2020-10-08 |
| 1437614369 | Kristie A. Hill | Registered Nurse | 200 Lagrange Ave, Newark, DE 19702-3516 | 2019-02-05 |
| 1285143479 | Erin Porter | Registered Nurse | 200 Mcintire Dr, Newark, DE 19711-3568 | 2017-09-20 |
| 1912435488 | Colleen N Sauder | Registered Nurse | 55 S Meadowood Dr, Newark, DE 19711-6755 | 2017-05-30 |
| 1104256791 | Kristin Turner | Registered Nurse | 76 Auckland Dr, Newark, DE 19702-4252 | 2013-11-18 |
| 1124263322 | Marilyn D Goodman | Registered Nurse | 848 Pierson Ave., Newark, NY 14513 | 2008-12-03 |
| 1700056223 | Gaynel Fontaine | Registered Nurse | 2575 Glasgow Avenue, Hodgson Vo Tech, Newark, DE 19702 | 2008-03-12 |
| 1780728683 | Dorothy Brabson | Registered Nurse | 200 Tyre Ave, Newark, DE 19711-7136 | 2007-02-16 |
| 1629620992 | Nichole Snyder | Registered Nurse | 625 Peirson Ave, Newark, NY 14513-2022 | 2019-07-16 |
| 1891259859 | Mia Harper | Registered Nurse | 439 W Maple Ave, Newark, NY 14513-2062 | 2019-01-24 |
| 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.