DR. JOOLY P KOSHY (NPI# 1720621345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720621345 |
| Entity Type | Individual |
| Full Name | DR. JOOLY P KOSHY |
| Other Name | MRS. JOOLY P MATHEW |
| Credential | APN |
| Practice Address |
150 Bergen Street Newark NJ 07103 |
| Mailing Address |
11 Taurus Ct Edison NJ 08820-1711 |
| Practice Telephone | 9729724300 |
| Mailing Telephone | 7326444858 |
| Enumeration Date | 2019-10-26 |
| Last Update Date | 2019-12-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ01002000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
150 BERGEN STREET |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093701161 | Diana Victoria Marin | Radiology | 150 Bergen Street, Level C, Newark, NJ 07103 | 2005-09-23 |
| 1992324073 | Christopher W Sandifer | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2020-04-09 |
| 1083174072 | Rakhee Jayant Barai | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103-2496 | 2019-03-25 |
| 1972063055 | Maryam Kazmi | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103-2496 | 2019-03-23 |
| 1043770456 | Hasan Mustafa Ali | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103-2496 | 2019-03-21 |
| 1457811085 | Daniel Rim | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2019-03-20 |
| 1942769724 | Raina Bembry | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2019-03-19 |
| 1881199768 | Christopher William Seery | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2018-03-24 |
| 1154825362 | Dayna Lakshesh Panchal | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh I-248, Newark, NJ 07103 | 2018-03-21 |
| 1528562915 | Regine Boutin | Student in an Organized Health Care Education/Training Program | 150 Bergen Street, Uh-i248, Newark, NJ 07101 | 2018-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
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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.