CASSANDRA MARY NICOTRA (NPI# 1538684725) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538684725 |
| Entity Type | Individual |
| Full Name | CASSANDRA MARY NICOTRA |
| Practice Address |
29th St At Ave E Bayonne NJ 07002 |
| Mailing Address |
2609 Se 21st Pl Cape Coral FL 33904-3275 |
| Practice Telephone | 2018585249 |
| Mailing Telephone | 2394105601 |
| Enumeration Date | 2017-08-08 |
| Last Update Date | 2018-09-10 |
| NPI Deactivation Date | 05/02/2018 |
| NPI Reactivation Date | 2018-08-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 600 N Wolfe St, Baltimore, MD 212870005 | 4109555514 |
| Street Address |
29TH ST AT AVE E |
| City | BAYONNE |
| State | NJ |
| Zip Code | 07002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821101239 | Ijkg Opco LLC | General Acute Care Hospital | 29th St At Ave E, Bayonne, NJ 07002 | 2006-08-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436029 | Nimitha Kumar | Dentist | 1216 John F Kennedy Blvd W, 2nd Floor, Bayonne, NJ 07002 | 2020-10-30 |
| 1972114437 | New Jersery Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 18-40 Goldsborough Drive, Bayonne, NJ 07002 | 2020-08-10 |
| 1134740707 | Paulanto Dental Clinic Corp | Clinic/Center | 189-195 Ave E, Bayonne, NJ 07002 | 2020-05-05 |
| 1093377152 | Moneeb Arshad Chohan | General Practice | 9 E 29th St, Bayonne, Bayonne, NJ 07002 | 2019-06-28 |
| 1477113835 | Jay Hwang | Dentist | 1160 John F. Kennedy Blvd, Suite B, Bayonne, NJ 07002 | 2019-06-18 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1376003855 | S.akhtar.md.llc | Internal Medicine | 16 East 29th St, Bayonne, NJ 07002 | 2019-03-21 |
| 1144799701 | Perfect Home Care | Home Health | 473 Broadway Suite 402, Bayonne, NJ 07002 | 2018-11-13 |
| 1881174688 | Windmill Alliance Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 184 186 Hobart Avenue, Apartment #2, Bayonne, NJ 07002 | 2018-08-21 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| Find all providers in zip 07002 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427686674 | Helana A Saad | Student in an Organized Health Care Education/Training Program | 89 W 21st St # 2, Bayonne, NJ 07002-2617 | 2020-03-31 |
| 1659909463 | Andrew Kelada | Student in an Organized Health Care Education/Training Program | 138 W 58th St Apt 1, Bayonne, NJ 07002-2213 | 2020-03-28 |
| 1740845932 | Sara Shi | Student in an Organized Health Care Education/Training Program | Bayonne Medical Center, 29 E 29th St, Bayonne, NJ 07002 | 2019-05-03 |
| 1437642774 | Agape Chen | Student in an Organized Health Care Education/Training Program | 29th Street & Avenue E, Bayonne, NJ 07002 | 2018-06-12 |
| 1760970610 | Arsany Sami Anis | Student in an Organized Health Care Education/Training Program | 89 W 25th St, Bayonne, NJ 07002-2705 | 2018-04-26 |
| 1619214707 | Joseph Dergan | Student in an Organized Health Care Education/Training Program | 86 W 33rd St, Bayonne, NJ 07002-2847 | 2013-01-09 |
| 1124388236 | Sara Mohamed Saber | Student in an Organized Health Care Education/Training Program | 178 W 49th St., Bayonne, NJ 07002 | 2012-05-22 |
| 1235270166 | Tracey Lynn Power | Student in an Organized Health Care Education/Training Program | 669 Avenue A, Bayonne, NJ 07002-1851 | 2007-02-12 |
| 1285250274 | Neil Alan Bobenhouse | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-25 |
| 1801412044 | Pak Lik Patrick Yue | Student in an Organized Health Care Education/Training Program | 29 E 29th St, Bayonne, NJ 07002-4654 | 2020-06-23 |
| Find all providers in BAYONNE | ||||
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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.