DR. JESSICA KATHLEEN MCLANE (NPI# 1538421714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538421714 |
| Entity Type | Individual |
| Full Name | DR. JESSICA KATHLEEN MCLANE |
| Credential | D.O. |
| Practice Address |
111 Central Avenue Newark NJ 07102 |
| Practice Telephone | 5705105752 |
| Mailing Telephone | 5705105752 |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MB09016500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
111 CENTRAL AVENUE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777458 | Saint Michael's Medical Center, Inc. | Clinic/Center | 111 Central Avenue, Newark, NJ 07102-1909 | 2005-08-11 |
| 1811500101 | Rime Mehannek | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Newark, NJ 07102 | 2020-08-26 |
| 1407478282 | Folasade Modupe Ajayi | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Newark, NJ 07102 | 2020-05-14 |
| 1467008839 | Szabela Infectious Disease Consulting | Internal Medicine | 111 Central Avenue, Newark, NJ 07102-1909 | 2019-08-12 |
| 1619536455 | Rutwik Patel | Student in an Organized Health Care Education/Training Program | 111 Central Avenue, Medical Education Department, Newark, NJ 07102 | 2019-06-06 |
| 1689984940 | Asclepius Vascular Services PC | Surgery | 111 Central Avenue, Newark, NJ 07102 | 2010-10-20 |
| 1174613178 | Elvira J Gutierrez | Physician Assistant | 111 Central Avenue, Saint Michael's Medical Center, Newark, NJ 07102 | 2006-10-13 |
| 1255423885 | Louis J Perl | Radiology | 111 Central Avenue, Newark, NJ 07102-1909 | 2006-09-29 |
| 1851407951 | Nalini S Parikh | Pathology | 111 Central Avenue, St. Michaels Medical Center, Newark, NJ 07102 | 2006-08-22 |
| 1083640965 | Akbar Hussain Noormohamed | Emergency Medicine | 111 Central Avenue, Newark, NJ 07102-1909 | 2006-06-23 |
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| 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 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659789816 | Andrew Parrish | Emergency Medicine | 201 Lyons Avenue, Suite D11, Dept of Emergency Medicine, Newark, NJ 07112-2027 | 2014-07-31 |
| 1144638719 | Laura Rachel Fagen | Emergency Medicine | 185 S Orange Ave # Msbe-609, Newark, NJ 07103-2757 | 2014-07-28 |
| 1750792883 | Kenadeed Hersi | Emergency Medicine | 30 Bergen Street Room 1110, Newark, NJ 07103 | 2014-05-12 |
| 1447479092 | William Stanley Vachon | Emergency Medicine | 4755 Ogletown Rd, Christiana Hospital, Academic Affairs - Suite 2a00, Newark, DE 19718-0001 | 2007-04-24 |
| 1811027436 | Justin Morgan | Emergency Medicine | 4755 Olgetown Stanton Road, Newark, DE 19713 | 2007-03-06 |
| 1821133257 | Christian Coletti | Emergency Medicine | Christiana Hospital C/o Academic Affairs, Suite 2a00christiana Hospital, Newark, DE 19718-0001 | 2007-02-21 |
| 1902967235 | Jenna Marie Fredette | Emergency Medicine | 4755 Oggletown Stanton Rd, Newark, DE 19718-0001 | 2006-12-12 |
| 1700947108 | Eli Morgan Zeserson | Emergency Medicine | Christiana Care Health System / Dept Emergency Med, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2006-12-12 |
| 1619043387 | Parmjit M Singh | Emergency Medicine | 5763 Stevenson Blvd, Newark, CA 94560-5301 | 2006-11-27 |
| 1912954041 | Frank Suttman Orth | Emergency Medicine | 1906 Tamarack Rd, Newark, OH 43055-2303 | 2006-05-26 |
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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.