JACQUELINE POLILLO (NPI# 1578030904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578030904 |
| Entity Type | Individual |
| Full Name | JACQUELINE POLILLO |
| Practice Address |
190 N Evergreen Ave Ste 203 Woodbury NJ 08096-1862 |
| Practice Telephone | 8565794247 |
| Mailing Telephone | 8565794247 |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2018-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 320512873 | NJ | Other Service Providers |
| Street Address |
190 N EVERGREEN AVE STE 203 |
| City | WOODBURY |
| State | NJ |
| Zip Code | 08096-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558502856 | Carol Shepard | Contractor | 84 Chestnut Ln, Woodbury, NY 11797-1923 | 2009-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942808902 | Yasmen Mustafa | Contractor | 50 Passaic Ave Apt 401, Kearny, NJ 07032-1155 | 2020-10-13 |
| 1447857297 | Shirley Pierre-louis | Contractor | 18 Canterbury Ln, Hackettstown, NJ 07840-3436 | 2020-10-05 |
| 1770190985 | Christine R Poulton | Contractor | 814 Jackson Ave, Lindenwold, NJ 08021-1218 | 2020-09-30 |
| 1790392330 | Alumni Staffing LLC | Contractor | 1031 Us Highway 22 Ste 109, Bridgewater, NJ 08807-2952 | 2020-09-28 |
| 1093328429 | Kathleen Darrow | Contractor | 107 Manor Ave, Oaklyn, NJ 08107-1143 | 2020-08-25 |
| 1174149744 | Dellshone Tyrece Mckenzie | Contractor | 24 W Railroad Ave Ste 168, Tenafly, NJ 07670-1735 | 2020-06-19 |
| 1144844895 | Robin Carlena Bailey | Contractor | 60 Speedway Ave, Newark, NJ 07106-2217 | 2020-05-28 |
| 1346880861 | Keith A Hinton Jr. | Contractor | 301 Maple Ave Apt 223, North Plainfield, NJ 07060-6653 | 2020-01-13 |
| 1861044927 | Lawrence Gerald Bash | Contractor | 67 Cedarbrook Ave, Bridgeton, NJ 08302-1611 | 2019-07-09 |
| 1407412869 | Rosemary Bergamini | Contractor | 311 Millburn Ave, Millburn, NJ 07041-1643 | 2019-05-11 |
| Find all providers with the same taxonomy | ||||
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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.