MR. KEVIN EUSTACE


Address: 1 Essex Ln, Old Bridge, NJ 08857-1406
Phone: 8483911549

MR. KEVIN EUSTACE (NPI# 1669022125) 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) 1669022125
Entity Type Individual
Full Name MR. KEVIN EUSTACE
Credential IDMT
Practice Address 1 Essex Ln
Old Bridge
NJ 08857-1406
Practice Telephone 8483911549
Mailing Telephone 8483911549
Enumeration Date 2019-09-17
Last Update Date 2019-09-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1710I1003X Military Health Care Provider
Specialization: Independent Duty Medical Technicians
Other Service Providers

Office Location

Street Address 1 ESSEX LN
City OLD BRIDGE
State NJ
Zip Code 08857-1406

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Taxonomy Information

Taxonomy Code 1710I1003X
Grouping Other Service Providers
Classification Military Health Care Provider
Specialization Independent Duty Medical Technicians

Taxonomy Definition

An Independent Duty Medical Technician (IDMT) is specially trained and educated to perform primary medical care, minor surgical services, and treatment of dental disorders for active duty military members in a variety of health care and non-health care settings worldwide under direct and indirect physician supervision. An IDMT may take medical histories, perform physical exams, order lab tests and x-rays, prescribe medications, and give immunizations. IDMTs work under the direct supervision of a physician preceptor when at home station and indirectly when assigned to a Mobile Aid Station, Mobile Medical Unit, remote site, or otherwise deployed specifically as an IDMT. An IDMT may be an experienced Aerospace Medical Service Technician who meets special task qualifications and is recommended for training by the Aerospace Medical Service Functional Manager at their Medical Treatment Facility. IDMTs maintain certification as Nationally Registered Emergency Medical Technicians and as Immunization Back-up Technicians.
Notes: Source: Air Force Surgeon General Office [7/1/2005: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1306263108 Jamal Hogan Sr. Military Health Care Provider 3322 Charles Blvd, 108th Crg, Mcguire Afb, NJ 08641 2014-03-19
1528494457 Melissa A Wright Military Health Care Provider 4259d E George St, Trenton, NJ 08641-1275 2013-09-24
1346597994 Terrence Asher Kneapler Military Health Care Provider 125 Adams Ave, Browns Mills, NJ 08015-3831 2012-08-13
1851646020 Kshena Fuentes Military Health Care Provider 210 Canal Cir, Lumberton, NJ 08048-3108 2012-07-13
1871884890 Renee Nichole Snavely Military Health Care Provider 3903a Spaatz Dr, Trenton, NJ 08641-1629 2011-04-25
1043440001 Tamilynn Reese Military Health Care Provider 54 Village Dr, Barnegat, NJ 08005-1671 2009-07-23
1457581704 Jesus Octavio Amador Military Health Care Provider 2305 Saxony Dr, Mount Laurel, NJ 08054-6806 2009-07-21
1841428174 Joseph Nunzio Coyle Military Health Care Provider 5651 Texas Ave., Fort Dix, NJ 08640 2009-06-25
1760617088 Matthew Thompson Military Health Care Provider 84 Dawn Dr, Mount Holly, NJ 08060-1905 2009-05-18
1659505030 Kimberley Dawn Bock Tabor Military Health Care Provider 3453 Neely Rd, Mcguire Afb, NJ 08641 2009-05-13
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Competitor

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City OLD BRIDGE
Zip Code 08857

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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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