NEW LIFE HEALTH AND WELLNESS CENTER LLC (NPI# 1851607329) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851607329 |
| Entity Type | Organization |
| Organization Name | NEW LIFE HEALTH AND WELLNESS CENTER LLC |
| Practice Address |
12 Prospect St Bloomfield NJ 07003-3211 |
| Practice Telephone | 9734294850 |
| Practice Fax Number | 9734294811 |
| Mailing Telephone | 9734294850 |
| Mailing Fax Number | 9734294811 |
| Enumeration Date | 2010-08-23 |
| Last Update Date | 2011-01-26 |
| Authorized Official Name | MS. JOANNE WEBB-WILLIAMS (ADVANCE PRACTICE NURSE) |
| Authorized Official Telephone | 9734294850 |
| Authorized Official Credential | APN-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NN06957700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NN05973400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0250279 | 05 |
| Street Address |
12 PROSPECT ST |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-3211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639259013 | Joanne Webb-williams | Nurse Practitioner | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2006-10-17 |
| 1811505563 | Danielle Henderson-muhammad | Social Worker | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2020-07-20 |
| 1689213035 | Dimitris Myles Meredith | Counselor | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2020-01-02 |
| 1194223271 | New Life Counseling and Mental Health Services, LLC | Community/Behavioral Health | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2018-01-24 |
| 1639500101 | New Life Counseling and Mental Health Services | Counselor | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2013-12-09 |
| 1871922146 | Tameka Green Foote | Counselor | 12 Prospect St, Bloomfield, NJ 07003-3211 | 2013-11-06 |
| 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 | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750814190 | Christine Hyuna Chung | Nurse Practitioner | 590 Bloomfield Ave, Suite 127, Bloomfield, NJ 07003-2510 | 2017-04-04 |
| 1386078558 | Yrlande Simon | Nurse Practitioner | 68 Willow St, Bloomfield, NJ 07003-3216 | 2013-08-24 |
| 1174571335 | June Mayer | Nurse Practitioner | 255 Broad St, Bloomfield, NJ 07003-2724 | 2006-05-04 |
| 1760948178 | Mallory Katelyn Benkert | Nurse Practitioner | 533 Cottage Grove Rd, Bloomfield, CT 06002-3155 | 2019-02-11 |
| 1457833006 | Melissa Eve Mckay | Nurse Practitioner | 382 W Passaic Ave, Bloomfield, NJ 07003-5552 | 2018-08-30 |
| 1609326123 | Kimberly Pappas | Nurse Practitioner | 100 N Church St, Unit C, Bloomfield, NM 87413-5754 | 2016-10-07 |
| 1902254725 | Natalie M Cooper | Nurse Practitioner | 421 Cottage Grove Rd, Bloomfield, CT 06002-3170 | 2016-06-02 |
| 1851766364 | Raena Kidangan | Nurse Practitioner | 34 Woodland Rd, 1st Floor, Bloomfield, NJ 07003-5212 | 2015-12-09 |
| 1962812602 | Sherlaine Baas | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-05-03 |
| 1164848297 | Savita Doobay | Nurse Practitioner | 194 Broad St, Bloomfield, NJ 07003-2606 | 2014-03-13 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
Please comment or provide details below to improve the information on NEW LIFE HEALTH AND WELLNESS CENTER LLC.
| 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.