GARDEN STATE VISITING PRACTITIONERS (NPI# 1669743332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669743332 |
| Entity Type | Organization |
| Organization Name | GARDEN STATE VISITING PRACTITIONERS |
| Practice Address |
1672 Miller Ave West Deptford NJ 08086-3210 |
| Practice Telephone | 8566284785 |
| Mailing Telephone | 8566284785 |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |
| Authorized Official Name | DIANE WRIGHT (PRESIDENT) |
| Authorized Official Telephone | 8566284785 |
| Authorized Official Credential | APN-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00328900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1672 MILLER AVE |
| City | WEST DEPTFORD |
| State | NJ |
| Zip Code | 08086-3210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961237 | Diane Wright | Nurse Practitioner | 1672 Miller Ave, West Deptford, NJ 08086-3210 | 2011-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639426141 | Rise Home Therapy, LLC | Physical Therapist | 82 Pelican Place, West Deptford, NJ 08086 | 2012-08-14 |
| 1417003278 | Michael Irwin Rouff | Dentist | 800 Jessup Road, Suite 805, Thorofare, NJ 08086 | 2007-01-26 |
| 1750480802 | Susan I Moreno | Physical Medicine & Rehabilitation | 196 Grove Ave Suite E, Thorofare, NJ 08086 | 2006-09-22 |
| 1245246982 | Nidhi Agrawal | Family Medicine | 196 Grove Avenue, Suite C, Thorofare, NJ 08086 | 2006-08-01 |
| 1407873466 | Stacey A Yandoli | Dentist | 776 Grove Rd, West Deptford, NJ 08086 | 2006-07-16 |
| 1649724816 | Colleen Di Luigi | Nurse Practitioner | 196 Grove Avenue, Suite C, Thorofare, NJ 08086 | 2016-08-05 |
| 1841652781 | Love Your Smile Family & Aesthetic Dentistry | Dentist | 196 Grove Ave, Suite F, West Deptford, NJ 08086 | 2016-03-21 |
| 1144557067 | Rite Aid of New Jersey Inc | Durable Medical Equipment & Medical Supplies | 1000 Kings Highway, West Deptford, NJ 08086 | 2009-11-13 |
| 1457551442 | Susan I Moreno M.d. P.C. | Specialist | 196 Grove Ave, Suite E, Thorofare, NJ 08086 | 2007-07-19 |
| 1063611523 | Janine Trindade | Dentist | 776 Grove Rd, West Deptford, NJ 08086 | 2007-07-15 |
| Find all providers in zip 08086 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961237 | Diane Wright | Nurse Practitioner | 1672 Miller Ave, West Deptford, NJ 08086-3210 | 2011-07-05 |
| 1942467253 | Charlotte Joanne Jordan | Nurse Practitioner | 204 Grove Ave, Suite C, West Deptford, NJ 08086-2557 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
| City | WEST DEPTFORD |
| Zip Code | 08086 |
Please comment or provide details below to improve the information on GARDEN STATE VISITING PRACTITIONERS.
| 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.