DR. LINDA NADINE FAGAN (NPI# 1861864654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861864654 |
| Entity Type | Individual |
| Full Name | DR. LINDA NADINE FAGAN |
| Credential | MD |
| Practice Address |
24 Independence Dr Basking Ridge NJ 07920-3815 |
| Practice Telephone | 9084624620 |
| Mailing Telephone | 9084624620 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202C00000X | Independent Medical Examiner | 25MA07530800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003064957 | Linda Sue Fagan | Registered Nurse | 3525 Sheridan Rd, Portsmouth, OH 45662-2359 | 2008-09-04 |
| 1154590602 | Linda Chiapetta Fagan | Nurse Practitioner | 45 Nw 4th St, Homestead, FL 33030-5941 | 2008-02-28 |
| 1215074919 | Linda S Fagan | Preventive Medicine | 376 N Main St, Stanton, KY 40380-2169 | 2007-01-31 |
| 1932143336 | Linda R. Fagan | Anesthesiology | 120 Madison Ave, Mount Holly, NJ 08060-2055 | 2006-06-15 |
| 1205878428 | Linda Fagan | Nurse Practitioner | 1113 E Oglethorpe Hwy, Hinesville, GA 31313-1200 | 2006-06-12 |
| 1245272301 | Linda Diane Fagan | Emergency Medicine | 1700 Cogdell Blvd, Cogdell Memorial Hospital, Snyder, TX 79549-6162 | 2006-06-12 |
| Street Address |
24 INDEPENDENCE DR |
| City | BASKING RIDGE |
| State | NJ |
| Zip Code | 07920-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073128450 | Margo Lee Tarasov | Social Worker | Rr 22 West, Bridgewater, NJ 07920 | 2020-09-11 |
| 1053894196 | Riverwalk Pharmacy LLC | Pharmacy | 665 Marinsville Rd Unite 9b, Basking Ridge, NJ 07920 | 2018-09-14 |
| 1164967196 | Somerset County Ymca | Community/Behavioral Health | 140 Mt. Airy Road, Basking Ridge, NJ 07920 | 2016-12-29 |
| 1649627159 | Dungarvin New Jersey, LLC-woodward | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 139 Woodward Ln, Basking Ridge, NJ 07920 | 2016-05-16 |
| 1134597115 | Sarah Kane | Genetic Counselor, MS | 136 Mountainview Blvd., Basking Ridge, NJ 07920 | 2015-09-09 |
| 1497137087 | Matheny School and School | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 33 North Maple Avenue, Basking Ridge Community Residence, Basking Ridge, NJ 07920 | 2015-06-19 |
| 1497194203 | Lauren Elizabeth Grabiec | Nurse Practitioner | 140 Allen Rd., Basking Ridge, NJ 07920 | 2013-06-14 |
| 1124466966 | David Evdokimow, M.d. LLC | Dermatology | 96 South Finley Ave., Basking Ridge, NJ 07920 | 2013-06-13 |
| 1720425804 | Carol J Skolnik | Occupational Therapist | 101 Peachtree Rd, Basking Ridge, NJ 07920 | 2013-05-29 |
| 1871863027 | Heather Lonergan | Counselor | 233 Mt.airy Rd, Basking Ridge, NJ 07920 | 2012-01-05 |
| Find all providers in zip 07920 | ||||
| Taxonomy Code | 202C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners, www.abime.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235496035 | Vijay K. Paharia | Independent Medical Examiner | 21 Empire Dr, Pleasantville, NJ 08232-2964 | 2012-04-18 |
| 1194029926 | Johannes H Dejong | Independent Medical Examiner | 4 Captain Bailey Ct, Brielle, NJ 08730-1553 | 2011-01-09 |
| 1831395029 | Barbara Elizabeth Davis | Independent Medical Examiner | Njit Student Health Services, 323 Dr. Martin Luther King Blvd., Newark, NJ 07102 | 2007-06-25 |
| 1538363833 | Sandra P Braimbridge | Independent Medical Examiner | 61 Rustic Trl, Flemington, NJ 08822-5556 | 2007-06-12 |
| 1699978908 | South Jersey Women's Center, P.C. | Independent Medical Examiner | 1014 Haddonfield Rd, Cherry Hill, NJ 08002-2747 | 2007-06-06 |
| 1760720296 | Pain and Disability Institute, P.c | Independent Medical Examiner | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2013-01-17 |
| 1841536026 | Pain and Disability Institute,pc | Independent Medical Examiner | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2012-12-17 |
| 1639408461 | Avicenna Medical Arts, Pllc | Independent Medical Examiner | 660 Tennent Rd, Suite 104, Manalapan, NJ 07726-3163 | 2009-12-07 |
| 1417285008 | Henry Scott Farah | Independent Medical Examiner | 468 Clinton Ave, Northvale, NJ 07647-1020 | 2009-11-19 |
| 1710135108 | Ariz R. Mehta, M.d., P.C. | Independent Medical Examiner | 191 Palisade Ave, Ariz R. Mehta, M.d., P.C., Jersey City, NJ 07306-1112 | 2008-08-28 |
| Find all providers with the same taxonomy | ||||
| City | BASKING RIDGE |
| Zip Code | 07920 |
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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.