JACLYN RENEE BRUNNER (NPI# 1619108347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619108347 |
| Entity Type | Individual |
| Full Name | JACLYN RENEE BRUNNER |
| Credential | MD |
| Practice Address |
1 Cooper Plz Department of Emergency Medicine Camden NJ 08103-1461 |
| Mailing Address |
570 N 23rd St Apt. 2b Philadelphia PA 19130-3159 |
| Practice Telephone | 8563422627 |
| Mailing Telephone | 9732207547 |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2011-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 146D00000X | Personal Emergency Response Attendant | MT195992 | PA | Emergency Medical Service Providers |
| Street Address |
1 COOPER PLZ DEPARTMENT OF EMERGENCY MEDICINE |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103-1461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 146D00000X |
| Grouping | Emergency Medical Service Providers |
| Classification | Personal Emergency Response Attendant |
| Individuals that are specially trained to assist patients living at home with urgent/emergent situations. These individuals must be able to perform CPR and basic first aid and have sufficient counseling skills to allay fears and assist in working through processes necessary to resolve the crisis. Functions may include transportation to various facilities and businesses, contacting agencies to initiate remediation service or providing reassurance. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124576236 | Abdul Limon | Personal Emergency Response Attendant | 268 N 8th St, Prospect Park, NJ 07508-2039 | 2016-09-17 |
| 1205202090 | Adryanna Lima Tavares | Personal Emergency Response Attendant | 120 President Rd, Township of Washington, NJ 07676-5226 | 2015-08-14 |
| 1699178624 | Jerry Pecaro | Personal Emergency Response Attendant | 767 Springfield Ave, Summit, NJ 07901-2328 | 2014-10-05 |
| 1124436639 | Thomas Crespo | Personal Emergency Response Attendant | 1118 Neptune Ct, Forked River, NJ 08731-5315 | 2014-07-28 |
| 1083877823 | Jacinto H Wesley | Personal Emergency Response Attendant | 200 43rd St, Apt. 207, Union City, NJ 07087-6186 | 2008-07-02 |
| 1730355504 | A& M Medical Associate, LLC | Personal Emergency Response Attendant | 48 Rath Ln, East Brunswick, NJ 08816-2816 | 2008-05-01 |
| 1679615553 | Badawy Mohamed Badawy | Personal Emergency Response Attendant | 2738 Kennedy Blvd., 1st Floor, Jersey City, NJ 07306-5508 | 2007-02-13 |
| 1366584195 | Chantal Simpson-gabriel | Personal Emergency Response Attendant | 9 Nottingham Ct, Ringwood, NJ 07456-2740 | 2007-02-12 |
| 1417094228 | Domingo F. Magbalon Jr. | Personal Emergency Response Attendant | 1656 Blue Jay Ln, Cherry Hill, NJ 08003-3102 | 2007-01-31 |
| 1831274273 | James Michael Mccrossin | Personal Emergency Response Attendant | 601 Laurel Oak Rd, Voorhees, NJ 08043-4423 | 2006-10-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JACLYN RENEE BRUNNER.
| 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.