MS. GABRIELLE JOSEPHINE MULDERRIG (NPI# 1568910610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1568910610 |
Entity Type | Individual |
Full Name | MS. GABRIELLE JOSEPHINE MULDERRIG |
Credential | APN |
Practice Address |
154 Engle St Englewood NJ 07631-2507 |
Mailing Address |
405 Tenafly Rd Englewood NJ 07631-1728 |
Practice Telephone | 2018711515 |
Practice Fax Number | 2018719683 |
Mailing Telephone | 2013346602 |
Enumeration Date | 2016-09-19 |
Last Update Date | 2016-09-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
26NJ00635100 | NJ | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | NEW JERSEY CDS REGISTRATION # | P00712700 | 01 |
US DRUG ENFORCEMENT ADMINISTRATION | MM3987659 | 01 | |
NJ | NEW JERSEY APN LICENSE # | 26NJ00635100 | 01 |
Street Address |
154 ENGLE ST |
City | ENGLEWOOD |
State | NJ |
Zip Code | 07631-2507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376710004 | Andron Medical Associates, Pa | Internal Medicine | 154 Engle St, Englewood, NJ 07631-2507 | 2008-05-12 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
Find all providers in zip 07631 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154626133 | Yeun Sook Kim | Clinic/Center | 533 Cumberland St, Englewood, NJ 07631-4705 | 2011-01-21 |
1407028657 | Alex R Pavon Md PC | Clinic/Center | 106 W Palisade Ave, Suite 101, Englewood, NJ 07631-2633 | 2008-03-27 |
1306451612 | Arapahoe Mental Health Center, Inc | Clinic/Center | 155 Inverness Dr W, Englewood, CO 80112-5000 | 2020-09-14 |
1780299263 | Arapahoe Mental Health Center, Inc | Clinic/Center | 116 Inverness Dr E Ste 105, Englewood, CO 80112-5125 | 2020-09-11 |
1477182665 | Community Supported Family Medicine, LLC | Clinic/Center | 3333 S Bannock St Ste 400, Englewood, CO 80110-2436 | 2020-04-08 |
1902275712 | Integrative Pediatric Health Care, LLC | Clinic/Center | 3701 S Clarkson St Ste 200, Englewood, CO 80113-3960 | 2015-09-22 |
1952732463 | Vision Lab, Inc. | Clinic/Center | 850 Englewood Pkwy, 100a, Englewood, CO 80110 | 2013-12-09 |
1992137988 | Community Supported Family Medicine LLC | Clinic/Center | 3333 S Bannock St Ste 820, Englewood, CO 80110-2422 | 2013-08-01 |
1427393271 | Arapahoe Mental Health Center, Inc | Clinic/Center | 155 Inverness Dr W, Englewood, CO 80112-5095 | 2012-12-05 |
1821297581 | Healthy Futures, PC | Clinic/Center | 300 E Hampden Ave, Suite 201, Englewood, CO 80113-2638 | 2007-07-13 |
Find all providers in ENGLEWOOD |
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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.