KATHLEEN MAVOURNEEN MC CARTY


Address: 66 Bearfort Ter, Ringwood, NJ 07456-2952
Phone: 9739621853

KATHLEEN MAVOURNEEN MC CARTY (NPI# 1598994071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1598994071
Entity Type Individual
Full Name KATHLEEN MAVOURNEEN MC CARTY
Credential RN, APN
Practice Address 66 Bearfort Ter
Ringwood
NJ 07456-2952
Practice Telephone 9739621853
Mailing Telephone 9739621853
Enumeration Date 2009-07-06
Last Update Date 2009-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WC0400X Registered Nurse
Specialization: Case Management
26NO06753200 NJ Nursing Service Providers
Y 163WG0000X Registered Nurse
Specialization: General Practice
26NC06753200 NJ Nursing Service Providers

Office Location

Street Address 66 BEARFORT TER
City RINGWOOD
State NJ
Zip Code 07456-2952

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NPI Name Taxonomy Address Enumeration
1841799061 Kimberly Marie Lorah-lidestri Counselor 71 Coventry Way, Ringwood, NJ 07456 2018-02-02
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1518383280 Cheryl Lynn Isgro Registered Nurse 347 Skyline Lake Drive, Ringwood, NJ 07456 2014-03-05
1538312731 Donna Volpe Speech-Language Pathologist 24 Tulip Avenue, Ringwood, NJ 07456 2008-10-31
1508016072 Laura M Wiseman Social Worker 6 Beech Court, Ringwood, NJ 07456 2008-09-22
1790808780 Nancy Kowalski Counselor 82 Skyline Drive, Ringwood, NJ 07456 2007-04-06
1710013792 Donna Lynn Iasiello Social Worker 152 Buena Vista Dr, Ringwood, NJ 07456 2007-02-26
1356481006 David B Tanis Chiropractor 16 Skyline Lks Dr, Suite 6, Ringwood, NJ 07456 2007-02-08
1578624177 Msb Therapy, LLC Speech-Language Pathologist 55 Skyline Drive, Suite 206a, Ringwood, NJ 07456 2006-12-13
1962593111 Lakeland Psychological Services Psychologist 1141 A Greenwood Lake Turnpike, Ringwood, NJ 07456 2006-09-27
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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1932638269 Linda Obiamaka Okose Registered Nurse 13 Buttell Ave, Lakewood, NJ 08701-4704 2017-06-09
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Competitor

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City RINGWOOD
Zip Code 07456

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Dataset Information

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.

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