MS. DOMINIQUE CHRISTINA KOONS (NPI# 1598203051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598203051 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE CHRISTINA KOONS |
| Credential | PA |
| Practice Address |
1715 Country Bridge Rd Millville NJ 08332-1114 |
| Practice Telephone | 6093646826 |
| Mailing Telephone | 6093646826 |
| Enumeration Date | 2017-02-05 |
| Last Update Date | 2017-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SX0200X |
Clinical Nurse Specialist Specialization: Oncology |
25MP00421800 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1715 COUNTRY BRIDGE RD |
| City | MILLVILLE |
| State | NJ |
| Zip Code | 08332-1114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285158956 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave, Apt. #16b, Millville, NJ 08332 | 2017-08-03 |
| 1649794314 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #8d, Millville, NJ 08332 | 2017-08-03 |
| 1639693302 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. 19k, Millville, NJ 08332 | 2017-08-03 |
| 1912421686 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #15j, Millville, NJ 08332 | 2017-08-03 |
| 1720502495 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #16f, Millville, NJ 08332 | 2017-08-03 |
| 1376067041 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 26 N. Ladow Ave., Apt. #21h, Millville, NJ 08332 | 2017-08-03 |
| 1932572989 | Caringhouse Projects, Inc | Respite Care | 1306 Farton Road, Millville, NJ 08332 | 2015-11-12 |
| 1467825778 | Caringhouse Projects, Inc | Respite Care | 403 Harrison Avenue, Millville, NJ 08332 | 2015-11-09 |
| 1528444734 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 207 Bogden Boulevard, Millville, NJ 08332 | 2015-08-11 |
| 1285028936 | Brooke Colleen Doyle | Chiropractor | 1014 N High St., Millville, NJ 08332 | 2015-03-20 |
| Find all providers in zip 08332 | ||||
| Taxonomy Code | 364SX0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Oncology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396757811 | Susan J Wilson | Clinical Nurse Specialist | 210 South Shore Road, Suite 106, Hope Community Cancer Center, Marmora, NJ 08223-1271 | 2006-08-13 |
| 1033495551 | Anne Marie Flaherty | Clinical Nurse Specialist | 92 2nd St, Hackensack, NJ 07601-2105 | 2011-10-28 |
| 1811290505 | Janice A Terlizzi | Clinical Nurse Specialist | 136 Mountainview Blvd, Basking Ridge, NJ 07920-3444 | 2010-12-17 |
| 1700036746 | Alice O'brien | Clinical Nurse Specialist | 150 Bergen St, D 106, Newark, NJ 07103 | 2008-09-26 |
| 1427213263 | Carol G Boyer | Clinical Nurse Specialist | 1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922-2104 | 2008-07-22 |
| 1932389368 | Carol Stein Blecher | Clinical Nurse Specialist | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2007-11-14 |
| 1598961971 | Brenda Diaz | Clinical Nurse Specialist | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2007-06-22 |
| 1720204589 | Raymond Scarpa | Clinical Nurse Specialist | 90 Bergen St, Newark, NJ 07103-2425 | 2007-04-18 |
| 1164544714 | Bridget Alexis Legrazie | Clinical Nurse Specialist | 175 Madison Ave, 4 Stokes, Mount Holly, NJ 08060-2038 | 2007-04-04 |
| 1225156821 | Deborah Ann Smith | Clinical Nurse Specialist | 23 Pocono Rd, Suite 100, Denville, NJ 07834-2954 | 2007-03-26 |
| 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.