MS. ELLEN DAVIS (NPI# 1710912480) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710912480 |
| Entity Type | Individual |
| Full Name | MS. ELLEN DAVIS |
| Credential | NP |
| Practice Address |
425 Jack Martin Blvd Ocean Medical Center Emergency Dept Brick NJ 08724-7732 |
| Mailing Address |
727 N Beers St Ocean Medical Center Emergency Dept Holmdel NJ 07733-1514 |
| Practice Telephone | 7328403346 |
| Mailing Telephone | 7328403346 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-02-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00154400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
F430186 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02782718 | 05 | |
| NJ | 60043620 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831645977 | Ellen Davis | Massage Therapist | 3302 Fuhrman Ave E, Ste 110, Seattle, WA 98102-7115 | 2016-08-29 |
| 1043607021 | Ellen Davis | Specialist/Technologist | 11319 Kings Valley Dr, Damascus, MD 20872-2259 | 2015-04-17 |
| 1376734368 | Ellen Jean Davis | Internal Medicine | 2715 Sw Willetta, Suite B, Albany, OR 97321 | 2007-08-06 |
| 1053465179 | Ellen C Davis | Occupational Therapist | 205 South St E, Talladega, AL 35160-2411 | 2007-01-23 |
| 1366439093 | Ellen Satterwhite Davis | Pediatrics | 705 Summit Crossing Pl, Suite 150, Gastonia, NC 28054-2137 | 2005-09-27 |
| 1194384362 | Ellen Davis | Physician Assistant | 130 Pablo St, Lakeland, FL 33803-3818 | 2019-06-11 |
| 1861987372 | Ellen L Davis | Counselor | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2018-06-27 |
| 1346749686 | Ellen Davis | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2018-02-01 |
| 1235526005 | Ellen Geheber Davis | Acupuncturist | 11965 Venice Blvd, Suite 407, Los Angeles, CA 90066-3979 | 2015-04-20 |
| 1598162828 | Ellen S Davis | Community Health Worker | 325 Sw Frazier Ave, Topeka, KS 66606-1963 | 2014-12-02 |
| Street Address |
425 JACK MARTIN BLVD OCEAN MEDICAL CENTER EMERGENCY DEPT |
| City | BRICK |
| State | NJ |
| Zip Code | 08724-7732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780686741 | Shore Radiation Oncology, LLC. | Radiology | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2005-06-02 |
| 1689299042 | Kerrianne Theresa Reuter | Registered Nurse | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-11 |
| 1679197933 | Pessy Kramer | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-02 |
| 1730701699 | Suneeta Kumari | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-14 |
| 1306468665 | Mary-catherine Skoulos | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
| 1073135323 | Alexander Rawji | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-09 |
| 1184245797 | Aneela Jafri | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-05-05 |
| 1285255513 | Sarah Nasir Aziz | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-28 |
| 1841810462 | Erica Ann Coffman | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-23 |
| 1770103871 | Jia Hong Chen | Student in an Organized Health Care Education/Training Program | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386498 | Mark Malak | Pharmacist | 668 New Jersey Ave # 70, Brick, NJ 08724 | 2020-11-08 |
| 1699381681 | Kimberly Granai | Nurse Practitioner | 1617 Nj-88, Brick Township, NJ 08724 | 2020-09-16 |
| 1407461346 | Marina N Samuel | Pharmacist | 1890 Rt 88, Brick, NJ 08724 | 2020-09-08 |
| 1255974440 | Diana Rachel Williamson | Pharmacy Technician | 1610 Rt. 88 West, Suite 103, Brick, NJ 08724 | 2019-10-21 |
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1417504515 | Susan B Anthony | Physical Therapist | 676 Overlook Ct, Brick, NJ 08724 | 2019-08-22 |
| 1831688076 | Jennifer S Cashin | Social Worker | 1500 Nj-88, Brick, NJ 08724 | 2018-05-03 |
| 1528555315 | James Kish Pt | Physical Therapist | 602 Yellowbrick Rd, Brick, NJ 08724 | 2018-04-17 |
| 1396262200 | Michael Stephen Zito-govert | Nurse Practitioner | 1640 Route 88 West, Suite 203, Brick, NJ 08724 | 2017-08-23 |
| 1083140420 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1200 Route 70 East, Brick, NJ 08724 | 2017-05-04 |
| Find all providers in zip 08724 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902316565 | Theresa Ann Reilly | Nurse Practitioner | 39 Toronto Dr, Brick, NJ 08723-7531 | 2017-10-09 |
| 1003460262 | Susan A Lopez | Nurse Practitioner | 1541 Route 88 Ste A, Brick, NJ 08724-2373 | 2019-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
| 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.