AISHA E WAGNER (NPI# 1871077404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871077404 |
| Entity Type | Individual |
| Full Name | AISHA E WAGNER |
| Other Name | AISHA HERNANDEZ |
| Credential | NP |
| Practice Address |
1304 Driving Park Avenue Newark NY 14513 |
| Mailing Address |
100 Kings Hwy S Rochester NY 14617-5504 |
| Practice Telephone | 3153592130 |
| Mailing Telephone | 3153592130 |
| Mailing Fax Number | 3153592139 |
| Enumeration Date | 2018-09-19 |
| Last Update Date | 2020-01-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308928 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598102394 | Aisha Wagner | Family Medicine | 1824 Madison Ave, New York, NY 10035-3832 | 2013-06-03 |
| Street Address |
1304 DRIVING PARK AVENUE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
| 1215221130 | Mary Lisa Maslyn | Speech-Language Pathologist | 703 E. Maple Avenue, Newark, NY 14513 | 2011-06-08 |
| Find all providers in zip 14513 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1568029411 | Ashley Nicole Warren | Nurse Practitioner | Newark Beth Israel Medical Center, 201 Lyons Ave, Newark, NJ 07112-1782 | 2019-05-28 |
| 1851884456 | Dionne Hutson Hendy | Nurse Practitioner | 52-54 Richelieu Ter, Newark, NJ 07106-1648 | 2018-06-08 |
| 1922472620 | Laura Kretz Mayover | Nurse Practitioner | 4755 Ogletown Stanton Rd Ste 1e50, Newark, DE 19718-2200 | 2015-11-18 |
| 1710312848 | Saino Mathew | Nurse Practitioner | 418 N 13th St, Apt # 1, Newark, NJ 07107-1384 | 2013-09-09 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1730486754 | Patricia Marie Wolf | Nurse Practitioner | 1818 Preston Pl, Newark, OH 43055-9328 | 2011-02-28 |
| 1518192640 | Michaelene M Baker Urban | Nurse Practitioner | Building B 86, Omega Drive, Newark, DE 19713-6004 | 2009-05-19 |
| 1316187594 | Sofrado Laggui Samonte Jr. | Nurse Practitioner | 25 Clifton Ave, Apt. 1608-d, Newark, NJ 07104-1872 | 2009-02-27 |
| 1326212796 | Liane Paixao-illa | Nurse Practitioner | 788 Mount Prospect Ave, Newark, NJ 07104-3221 | 2008-04-16 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on AISHA E WAGNER.
| 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.