LISSA EDMOND (NPI# 1740642503) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1740642503 |
Entity Type | Individual |
Full Name | LISSA EDMOND |
Credential | APN-C |
Practice Address |
1330 Parkway Ave Ste 7 Ewing NJ 08628-3006 |
Mailing Address |
Po Box 2264 Bloomfield NJ 07003 |
Practice Telephone | 9733585558 |
Enumeration Date | 2016-03-22 |
Last Update Date | 2020-10-18 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
26NJ00627000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
401979 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
111 Lexington Ave, Passaic, NJ 070555246 | 9734718006 | |
152 Central Ave, Jersey City, NJ 073062119 | 2018852539 | |
200 Prospect Park W, Brooklyn, NY 112155747 | 2126217770 |
Street Address |
1330 PARKWAY AVE STE 7 |
City | EWING |
State | NJ |
Zip Code | 08628-3006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356951172 | Clara Y Pak | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2020-08-06 |
1790324747 | Embodied Heart Mind LLC | Clinic/Center | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-12-22 |
1124665708 | Supplanter Counseling & Mediation, LLC | Social Worker | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-12-03 |
1841835568 | Emily Suzuki | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-18 |
1609411842 | Marissa Mangual | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-11-12 |
1528611126 | Anna Braverman | Psychologist | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-07-23 |
1265093322 | Carolynne Lewis Arevalo | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-27 |
1760042246 | Kristine Aguilar | Social Worker | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-18 |
1154980670 | Nathalie Edmond, LLC | Counselor | 1330 Parkway Ave Ste 7, Ewing, NJ 08628-3006 | 2019-06-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
1982258448 | Elizabeth Ann Mottola | Counselor | 1239 Parkway Avenue, Ewing, NJ 08628 | 2019-08-01 |
1528560570 | Robert Lewis Hutchinson | Registered Nurse | 1609 Stuyvesant Avenue, West Trenton, NJ 08628 | 2018-03-06 |
1568976512 | Eucharia Onyemachi Ihem | Nurse Practitioner | 101 Sullivan Way, Trenton Psychiatric Hospital, West Trenton, NJ 08628 | 2017-11-29 |
1194258806 | Megan Florio | Social Worker | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628 | 2017-04-10 |
1679958961 | Eden Autism Services | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 85 Willis Dr, Ewing, NJ 08628 | 2015-07-28 |
1659756948 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 18 Perry Drive, Ewing, NJ 08628 | 2015-07-28 |
1730571522 | Nancy Scott | Counselor | 850 Bear Tavern Road, Suite #305, West Trenton, NJ 08628 | 2015-03-03 |
1356774889 | Abrams Residence Assisted Living Facility | Assisted Living Facility | 50 Walter Street, Ewing, NJ 08628 | 2013-08-20 |
1710319686 | Jamie Lee Mucciarelli | Social Worker | 12 Wilburtha Rd, Ewing, NJ 08628 | 2013-08-02 |
Find all providers in zip 08628 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982243937 | Tonnesha Kidd | Nurse Practitioner | 3 Chelmsford Dr, Ewing, NJ 08618-1809 | 2019-12-22 |
1083250484 | Olasumbo Oladeru | Nurse Practitioner | 4 Boleyn Ct, Ewing, NJ 08628-2231 | 2019-11-20 |
1588281505 | Nerlande Charles | Nurse Practitioner | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 | 2020-06-26 |
1578112587 | Titilayo Julianah Gureje | Nurse Practitioner | 101 Sullivan Way, Ewing, NJ 08628-3425 | 2019-09-11 |
1215584107 | Carline F Archille | Nurse Practitioner | 101 Sullivan Way, Ewing, NJ 08628-3425 | 2019-08-24 |
1225510308 | Vaishali Desai | Nurse Practitioner | 100 Charles Ewing Blvd Ste 160, Ewing, NJ 08628-3456 | 2018-09-05 |
1558803809 | Mary Jo Anne Kelly | Nurse Practitioner | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2016-11-16 |
1366814022 | Mahip Gupta | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2015-10-21 |
1003158502 | Grant Marshall Myers | Nurse Practitioner | 830 Bear Tavern Rd, Ewing, NJ 08628-1020 | 2013-03-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821699943 | Ernest Akwaboah | Nurse Practitioner | 87 Burnett Ave, Maplewood, NJ 07040-3094 | 2020-11-04 |
1548861081 | Temitope Akande | Nurse Practitioner | 557 Liberty St, Orange, NJ 07050-1275 | 2020-11-02 |
1538767587 | Ruth Yamoah-cofie | Nurse Practitioner | 1160 E 7th St, Plainfield, NJ 07062-1906 | 2020-10-13 |
1336756170 | Jacqueline Michele Arnone | Nurse Practitioner | 105 Windward Dr, Manahawkin, NJ 08050-3345 | 2020-09-25 |
1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
1174138952 | Darlene Lupo | Nurse Practitioner | 72 Morris Ave, Neptune, NJ 07753 | 2020-09-09 |
1841804960 | Claudette L Blake | Nurse Practitioner | 890 Terrill Rd, Plainfield, NJ 07062-2250 | 2020-09-04 |
1982217873 | Ifeoma E Iherobiem | Nurse Practitioner | 884 S Springfield Ave Apt 18, Springfield, NJ 07081-3320 | 2020-08-28 |
1871106088 | Firmin Langyin | Nurse Practitioner | 200 Station Dr Apt 207, Avenel, NJ 07001-1793 | 2020-08-26 |
1205448859 | Yanick E Jean | Nurse Practitioner | 32 Deerfield Dr, West Orange, NJ 07052-3627 | 2020-08-17 |
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.