MRS. HEATHER JEAN WADEHRA (NPI# 1649480864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649480864 |
| Entity Type | Individual |
| Full Name | MRS. HEATHER JEAN WADEHRA |
| Other Name | MS. HEATHER JEAN DAVIDSON |
| Credential | RN, APN-C |
| Practice Address |
849 Cooper St Deptford NJ 08096-2571 |
| Mailing Address |
402 Lippincott Dr Marlton NJ 08053-4112 |
| Practice Telephone | 8568486346 |
| Practice Fax Number | 8568485734 |
| Mailing Telephone | 8567823300 |
| Mailing Fax Number | 8565048029 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2011-01-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN570491 | PA | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | 26NR12877800 | NJ | Nursing Service Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NJ00152200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP009606 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
849 COOPER ST |
| City | DEPTFORD |
| State | NJ |
| Zip Code | 08096-2571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124082839 | Salma Alikhan | Pediatrics | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-04-12 |
| 1497144430 | Robert Austin | Nurse Practitioner | 849 Cooper St, Deptford, NJ 08096-2571 | 2015-01-14 |
| 1962835207 | Kimberly Mae Mangubat | Pediatrics | 849 Cooper St, Deptford, NJ 08096-2571 | 2013-08-09 |
| 1053640110 | Meghan Chase Salvatore | Nurse Practitioner | 849 Cooper St, Deptford, NJ 08096-2571 | 2009-12-18 |
| 1295778363 | Sharon M. Ceravolo | Nurse Practitioner | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-06-14 |
| 1669436945 | Pierre N. Coant | Pediatrics | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-04-14 |
| 1376507871 | Angelo L. Minutillo | Pediatrics | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-04-13 |
| 1093779563 | Maryann Laudati | Pediatrics | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-04-13 |
| 1558325274 | Gloucester County Pediatrics | Pediatrics | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780226043 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1460 Cooper Street, Deptford, NJ 08096 | 2019-10-08 |
| 1730652058 | Robert Crawford Counseling & Consultation, LLC | Counselor | Robert Crawford Counseling & Consultation, LLC, 44 Cooper Street, Suite 208, Woodbury, NJ 08096 | 2019-01-09 |
| 1902381171 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 124 N Broad Street, Woodbury, NJ 08096 | 2018-10-03 |
| 1225518715 | Michael West | Pharmacist | 631 West Mantua Ave, Woodbury, NJ 08096 | 2018-08-15 |
| 1053807891 | Standing Ground Counseling, LLC | Clinic/Center | 44 Cooper Street, Suite 104, Woodbury, NJ 08096 | 2018-07-05 |
| 1376054536 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 40 Hessian Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1881105021 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1154 Bennett Drive, Deptford, NJ 08096 | 2017-10-16 |
| 1215448469 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 North Evergreen Avenue, Woodbury, NJ 08096 | 2017-10-16 |
| 1801307137 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 North Drexel Street, Woodbury, NJ 08096 | 2017-10-13 |
| 1295253847 | Sara Alven | Social Worker | 1 Lupton Avenue, Woodbury, NJ 08096 | 2017-09-05 |
| Find all providers in zip 08096 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497144430 | Robert Austin | Nurse Practitioner | 849 Cooper St, Deptford, NJ 08096-2571 | 2015-01-14 |
| 1053640110 | Meghan Chase Salvatore | Nurse Practitioner | 849 Cooper St, Deptford, NJ 08096-2571 | 2009-12-18 |
| 1295778363 | Sharon M. Ceravolo | Nurse Practitioner | 849 Cooper St, Deptford, NJ 08096-2571 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881219129 | Esther Epstein | Nurse Practitioner | 9 Dorchester Ct, Jackson, NJ 08527-2221 | 2020-06-12 |
| 1558985812 | Kristine Esguerra | Nurse Practitioner | 853 Sheridan St, Union, NJ 07083-6564 | 2020-06-02 |
| 1699398495 | Shannon Gorman | Nurse Practitioner | 856 S White Horse Pike Unit 2, Hammonton, NJ 08037-2032 | 2020-05-27 |
| 1730738550 | Sarah Williston | Nurse Practitioner | 254b Mountain Ave Ste 100, Hackettstown, NJ 07840-2413 | 2019-09-04 |
| 1194285346 | Sameh S Georgy | Nurse Practitioner | 17 Columbia Dr, Marlton, NJ 08053-3521 | 2019-03-22 |
| 1497211064 | Dana Paglia | Nurse Practitioner | 1230 Parkway Ave Ste 303, Ewing, NJ 08628-3018 | 2019-02-19 |
| 1407311830 | Kristi L Mulvey | Nurse Practitioner | 300 2nd Ave Ste Sh013, Long Branch, NJ 07740-6303 | 2019-02-11 |
| 1366916835 | Chelsea Laufer | Nurse Practitioner | 405 Hurffville Crosskeys Rd Ste 203, Sewell, NJ 08080-9344 | 2019-01-17 |
| 1659860757 | Daniela A Moscarella | Nurse Practitioner | 300 Candlewood Cmns, Howell, NJ 07731-2170 | 2018-05-03 |
| 1265949655 | Teresa Marie Mahoney | Nurse Practitioner | 575 Route 28 Bldg B, Raritan, NJ 08869-1354 | 2018-01-07 |
| 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.