LIESL PIA ILEDAN (NPI# 1659416360) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659416360 |
| Entity Type | Individual |
| Full Name | LIESL PIA ILEDAN |
| Credential | MD |
| Practice Address |
99 Route 37 W Toms River NJ 08755-6423 |
| Mailing Address |
4410 Ketcham St 5a Elmhurst NY 11373-3660 |
| Practice Telephone | 7325578000 |
| Mailing Telephone | 7184296234 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
25MA08186100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
99 ROUTE 37 W |
| City | TOMS RIVER |
| State | NJ |
| Zip Code | 08755-6423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993718 | Amit Mohindroo | Chiropractor | 99 Route 37 W, Toms River, NJ 08755-6423 | 2005-09-27 |
| 1851990089 | William Anthony Edwards Jr. | Nurse Anesthetist, Certified Registered | 99 Route 37 W, Toms River, NJ 08755-6423 | 2020-10-19 |
| 1376141366 | Lizeth Vanessa Gomez | Nurse Anesthetist, Certified Registered | 99 Route 37 W, Toms River, NJ 08755-6423 | 2020-10-13 |
| 1518575232 | Catherine Harvey | Registered Nurse | 99 Route 37 W, Toms River, NJ 08755-6423 | 2020-07-20 |
| 1821649625 | Jemmy Castor | Nurse Practitioner | 99 Route 37 W, Toms River, NJ 08755-6423 | 2019-09-23 |
| 1124681523 | Deanna Damato | Counselor | 99 Route 37 W, Toms River, NJ 08755-6423 | 2019-04-21 |
| 1831666841 | Danielle Defoto | Student in an Organized Health Care Education/Training Program | 99 Route 37 W, Toms River, NJ 08755-6423 | 2018-10-28 |
| 1992283535 | Marissa Falzarano | Registered Nurse | 99 Route 37 W, Toms River, NJ 08755-6423 | 2018-08-06 |
| 1295213247 | Mazen Yousef | Nurse Practitioner | 99 Route 37 W, Toms River, NJ 08755-6423 | 2018-08-01 |
| 1932685146 | Tulsi Patel | Nurse Practitioner | 99 Route 37 W, Toms River, NJ 08755-6423 | 2018-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501853 | Anthony Giallombardo Jr. | Optometrist | 864 Nj-37 W, Toms River, NJ 08755 | 2020-06-04 |
| 1720607120 | Smita Uma Jaggernauth | Pharmacist | Community Medical Center, 99 Route 37 W, Toms River, NJ 08755 | 2020-04-15 |
| 1356975486 | Ashley Victoria Damiano | Registered Nurse | 99 Nj Route 37, Toms River, NJ 08755 | 2020-02-27 |
| 1700410156 | Garden State Smiles Toms River | Dentist | 599 Nj 37#1, Toms River, NJ 08755 | 2020-02-25 |
| 1386116341 | Eihab Human Services New Jersey, Inc. | Case Management | 1000 Axl Rd., Apt. 1-101, Toms River, NJ 08755 | 2018-12-31 |
| 1114496825 | Sari Gottlieb Kornfield | Social Worker | Children's Specialized, 368 Lakehurst Road, Toms River, NJ 08755 | 2018-11-26 |
| 1538643580 | New Cell Centers | Clinic/Center | 780 Nj-37, #330, Toms River, NJ 08755 | 2018-09-16 |
| 1477047439 | Lovelife Family Counseling | Psychologist | 1563 Old Freehold Rd, Toms River, NJ 08755 | 2018-06-21 |
| 1396238499 | Melissa Renee Nickols | Physician Assistant | 99 Rout 37 West, Toms River, NJ 08755 | 2018-06-13 |
| 1740772953 | Abby Foma | Counselor | 368 Lakehurst Drive, Toms River, NJ 08755 | 2018-06-04 |
| Find all providers in zip 08755 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351079 | Caroline O Black | Emergency Medicine | Pediatric Emergency Department, 30 Prospect Ave, Hackensack, NJ 07601-0760 | 2013-03-28 |
| 1922491547 | Hussain Shakir | Emergency Medicine | 254 Easton Ave, Department of Pediatrics, New Brunswick, NJ 08901-1766 | 2015-03-05 |
| 1235422171 | Mihir Vyas | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2011-05-25 |
| 1912211277 | Virteeka Sinha | Emergency Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2010-07-28 |
| 1417188772 | Ursula Laskowski-kos | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-08-05 |
| 1669616595 | Alexander Paul Materna | Emergency Medicine | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 | 2009-04-22 |
| 1558536920 | Elisabeth Fishbein | Emergency Medicine | 350 Engle Street, Englewood, NJ 07631 | 2008-04-28 |
| 1467640458 | Lisa A Drago | Emergency Medicine | 1 Cooper Plz, Cooper University Emergency Physicians, Camden, NJ 08103-1461 | 2007-10-04 |
| 1174646244 | Trinitas Emergency Solutions PC | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07207 | 2007-04-06 |
| 1164547360 | John Bickford | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2007-03-20 |
| Find all providers with the same taxonomy | ||||
| City | TOMS RIVER |
| Zip Code | 08755 |
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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.