DARRELL PETER SHOULARS


Address: 10 N End Ter, Newark, NJ 07104-4404
Phone: 8627043524

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
778909 NJ Ambulatory Health Care Facilities

Office Location

Street Address 10 N END TER
City NEWARK
State NJ
Zip Code 07104-4404

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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

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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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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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
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Competitor

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City NEWARK
Zip Code 07104

Improve Information

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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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