DARRELL PETER SHOULARS (NPI# 1609422393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609422393 |
Entity Type | Individual |
Full Name | DARRELL PETER SHOULARS |
Credential | M.A., M.A. |
Practice Address |
10 N End Ter Newark NJ 07104-4404 |
Practice Telephone | 8627043524 |
Mailing Telephone | 8627043524 |
Enumeration Date | 2019-08-17 |
Last Update Date | 2019-08-17 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
778909 | NJ | Ambulatory Health Care Facilities |
Street Address |
10 N END TER |
City | NEWARK |
State | NJ |
Zip Code | 07104-4404 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
Find all providers in zip 07104 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
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1043660509 | State of New York Comptrollers Office | Clinic/Center | 703 E Maple Ave, Vienna Bldg, Newark, NY 14513-1845 | 2016-06-15 |
1154771616 | State of New York Comptrollers Office | Clinic/Center | 703 E Maple Ave, Tymeson Bldg, Newark, NY 14513-1845 | 2016-06-15 |
1043414170 | Nysarc Inc. | Clinic/Center | 150 Van Buren St, Newark, NY 14513-1238 | 2007-06-13 |
1518091420 | State of New York Comptrollers Office | Clinic/Center | 703 E Maple Ave, Vienna Bldg, Newark, NY 14513-1845 | 2007-03-15 |
1902930761 | Finger Lakes Ddso Wayne | Clinic/Center | 150 Van Buren St, Newark, NY 14513-1238 | 2007-03-15 |
1013057892 | State of New York Comptrollers Office | Clinic/Center | 703 E Maple Ave, Tymeson Bldg, Newark, NY 14513-1845 | 2007-02-08 |
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1942853213 | Asun Star Consulting, Inc | Clinic/Center | 554 Bloomfield Ave Ste 401, Bloomfield, NJ 07003-3307 | 2019-07-16 |
1124588496 | Reed Next, Inc. | Clinic/Center | 1 Dekorte Park Plaza, Lyndhurst, NJ 07071 | 2019-03-22 |
1013496884 | Sneha Angie Patel | Clinic/Center | 375 Ralph St, Somerset, NJ 08873-3116 | 2018-08-12 |
1073009338 | Lifetime Healthchoice LLC | Clinic/Center | 36 Hawthorne Pl Apt 4m, Montclair, NJ 07042-3277 | 2018-07-10 |
1659874675 | Nj Ecc | Clinic/Center | 31 Chamberlain Ave, Little Ferry, NJ 07643-1851 | 2018-03-15 |
1275046005 | Edison Sheltered Workshop, Inc. | Clinic/Center | 328 Plainfield Ave, Edison, NJ 08817-3117 | 2017-11-15 |
1831614528 | Providing Hope, Inc. | Clinic/Center | 120 East River Road, Suite 3, Rumson, NJ 07760 | 2017-08-03 |
1073033593 | Bancroft Neurohealth | Clinic/Center | 425 Haddonfield Rd., Haddonfield, NJ 08033 | 2017-06-26 |
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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.