BENJAMIN QUIDANGEN (NPI# 1740727791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740727791 |
| Entity Type | Individual |
| Full Name | BENJAMIN QUIDANGEN |
| Practice Address |
12 Lewis St Bloomfield NJ 07003-6017 |
| Practice Telephone | 2019574114 |
| Mailing Telephone | 2019574114 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
340063 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
12 LEWIS ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-6017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760009609 | Kesone T Telfer | Nurse Practitioner | 36 Walsh St, Bloomfield, CT 06002-3261 | 2020-06-26 |
| 1346721768 | Juliana Lima | Nurse Practitioner | 194 Broad St Ste 4, Bloomfield, NJ 07003-2606 | 2018-08-23 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1679009716 | Raxine Avis Christie-campbell | Nurse Practitioner | 24 Foothills Way, Bloomfield, CT 06002-1640 | 2017-05-11 |
| 1821541855 | Gretchen A. Myers | Nurse Practitioner | 8047 Pierpont Rd, Bloomfield, NY 14469-9714 | 2016-07-26 |
| 1003091497 | Bloomfield Medical Clinic, PC | Nurse Practitioner | 105 S Broadway Avenue, Bloomfield, NE 68718-0357 | 2008-01-03 |
| 1497786354 | James B Guynn | Nurse Practitioner | 100 N Church St Ste C, Bloomfield, NM 87413-5754 | 2006-07-06 |
| 1881622900 | Jody Lynn Root | Nurse Practitioner | 10858 E State Road 54, Suite #1, Bloomfield, IN 47424-6069 | 2006-06-29 |
| 1386692077 | Sunny Lynn Nagengast | Nurse Practitioner | 105 S Broadway, Bloomfield, NE 68718-0357 | 2006-05-04 |
| 1194354126 | Tatiana Dea | Nurse Practitioner | 1255 Broad St, Bloomfield, NJ 07003-3000 | 2020-04-02 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
Please comment or provide details below to improve the information on BENJAMIN QUIDANGEN.
| 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.