MRS. EDITA PETILOS LUANSING (NPI# 1598141053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598141053 |
| Entity Type | Individual |
| Full Name | MRS. EDITA PETILOS LUANSING |
| Credential | WHNP-BC |
| Practice Address |
317 Franklin Ave Ridgewood NJ 07450-3316 |
| Practice Telephone | 2014471620 |
| Practice Fax Number | 2014474977 |
| Mailing Telephone | 2014471620 |
| Mailing Fax Number | 2014474977 |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
26NJ00576300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
317 FRANKLIN AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942266978 | Kazem Behnam | Obstetrics & Gynecology | 317 Franklin Ave, Ridgewood, NJ 07450-3316 | 2006-04-26 |
| 1023270717 | Kazem Behnam, Md Pa | Specialist | 317 Franklin Ave, Ridgewood, NJ 07450-3316 | 2008-06-25 |
| 1205981545 | Melody S. Behnam, Md, PC | Obstetrics & Gynecology | 317 Franklin Ave, Ridgewood, NJ 07450-3316 | 2007-01-25 |
| 1467418459 | Melody Shahrzad Behnam | Obstetrics & Gynecology | 317 Franklin Ave, Ridgewood, NJ 07450-3316 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265039291 | Barbara Sztukowski | Nurse Practitioner | 438 Stockholm St, Ridgewood, NY 11385-1333 | 2020-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104648 | Veronica P Garces | Nurse Practitioner | 716 Broad St Ste 2a, Clifton, NJ 07013-1645 | 2020-05-02 |
| 1497394878 | Michele Anne Strykowsky | Nurse Practitioner | 227 Laurel Rd, Ste 300, Voorhees, NJ 08043-8303 | 2020-01-02 |
| 1528601564 | Whitney Grimm | Nurse Practitioner | 1200 Clinton St Apt 520, Hoboken, NJ 07030-3293 | 2019-10-22 |
| 1932759255 | Stacy Marie Karle | Nurse Practitioner | 401 Young Ave Ste 146b, Moorestown, NJ 08057-3130 | 2019-09-18 |
| 1609424043 | Alicia Kevette Rogers | Nurse Practitioner | 128 Rehill Ave Ste 1100, Somerville, NJ 08876-2519 | 2019-08-28 |
| 1477018273 | Yvonne Elizabeth Brown | Nurse Practitioner | 59 Main St Ste 207, West Orange, NJ 07052-5333 | 2019-02-05 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1861977043 | Vaidehi Patel | Nurse Practitioner | 101 Lawrence Rd, Parsippany, NJ 07054-3146 | 2018-10-03 |
| 1982184727 | Julie Black | Nurse Practitioner | 8008 Route 130 Ste 305, Delran, NJ 08075-1869 | 2018-08-21 |
| 1730669953 | Stephanie Ellen Kintzing | Nurse Practitioner | 841 Franklin Ave Ste 5, Franklin Lakes, NJ 07417-1418 | 2018-08-16 |
| 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.