KATHRYN LEGO WILKIN (NPI# 1871699256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871699256 |
| Entity Type | Individual |
| Full Name | KATHRYN LEGO WILKIN |
| Credential | RN,APN,C |
| Practice Address |
210 S Shore Rd Suite 106 Marmora NJ 08223-1200 |
| Mailing Address |
210 Route Us 9 S Ste 106 C/o Hope Community Cancer Ctr Marmora NJ 08223-1271 |
| Practice Telephone | 6093907888 |
| Practice Fax Number | 6093902614 |
| Mailing Telephone | 6093907888 |
| Mailing Fax Number | 6093902614 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2010-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00046000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
210 S SHORE RD SUITE 106 |
| City | MARMORA |
| State | NJ |
| Zip Code | 08223-1200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891782371 | Hemang U Dave | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2005-09-30 |
| 1932750239 | Amanda Sue Brozoskie | Nurse Practitioner | 210 S Shore Rd, Marmora, NJ 08223-1200 | 2019-09-27 |
| 1578919460 | Atlanticare Physician Group Pa | Non-Pharmacy Dispensing Site | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2016-05-10 |
| 1720472319 | Kimberly Nell | Nurse Practitioner | 210 S Shore Rd, Ste 106, Marmora, NJ 08223-1200 | 2015-03-23 |
| 1407256498 | Rachel Nicole Hiester | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2014-08-27 |
| 1518232586 | Regional Cancer Care Associates LLC | Internal Medicine | 210 S Shore Rd, Suite 106, Marmora, NJ 08223-1200 | 2012-03-09 |
| 1346512621 | Annie A. Farrow | Nurse Practitioner | 210 S Shore Rd, Ste. 106, Marmora, NJ 08223-1200 | 2012-02-02 |
| 1740410562 | Tiffany N Spoltore | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2009-07-15 |
| 1467638734 | Ritchie Michael Carroll | Physical Therapist | 210 S Shore Rd, Suite 203, Marmora, NJ 08223-1200 | 2008-01-16 |
| 1497768337 | Patrick S Eye | Nurse Practitioner | 210 S Shore Rd, Suite 201, Marmora, NJ 08223-1200 | 2006-08-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962909663 | Elizabeth Flores | Social Worker | 507 Route 9 South, Unit 10, Marmora, NJ 08223 | 2018-04-09 |
| 1790074607 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 1 Us Route 9 South, Marmora, NJ 08223 | 2011-03-31 |
| 1306080825 | Village Super Market of Nj L P | Pharmacy | 4 West Roosevelt Ave, Marmora, NJ 08223 | 2009-04-28 |
| 1518165943 | Fahd Rahman | Internal Medicine | 210 South Shore Road. Suite 106, Hope Community Cancer Center, Marmora, NJ 08223 | 2007-07-06 |
| 1285664615 | Melissa Hutchison | Family Medicine | 210 S. Shore Road, Marmora, NJ 08223 | 2006-07-03 |
| 1497844534 | Ellen T Demoulin | Chiropractor | 52 Tuckahoe Rd, Marmora, NJ 08223 | 2006-10-12 |
| 1154746873 | Rachel Hunter | Occupational Therapist | 23 Ocean Ave, Marmora, NJ 08223-1007 | 2014-03-04 |
| 1588825657 | Gretchen Bridget Sheppard | Licensed Practical Nurse | 204 Seaside Ave, Marmora, NJ 08223-1033 | 2008-06-22 |
| 1093379646 | Laura Kathleen Verzi-aleszczyk | Behavioral Analyst | 612 Stagecoach Rd, Marmora, NJ 08223-1107 | 2019-04-30 |
| 1003820622 | Atlanticare Physician Group | Clinic/Center | 210 Route Us 9 S, Suite 201, Marmora, NJ 08223-1200 | 2006-07-28 |
| Find all providers in zip 08223 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346512621 | Annie A. Farrow | Nurse Practitioner | 210 S Shore Rd, Ste. 106, Marmora, NJ 08223-1200 | 2012-02-02 |
| 1720139033 | Beverly L Dicerbo | Nurse Practitioner | 210 Route Us 9 S, Suite 106, Marmora, NJ 08223-1200 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275133175 | Kristy Liekfet | Nurse Practitioner | Atlanticare Apg Palliative Care, 1925 Pacific Ave. 1st Flr, Atlantic City, NJ 08401 | 2020-10-29 |
| 1609476761 | Remya Uthup | Nurse Practitioner | 240 Main St Apt 418, Hackensack, NJ 07601-5745 | 2020-10-28 |
| 1083213524 | Joann Michelle Munoz | Nurse Practitioner | 11 Highland Pl, Ridgefield Park, NJ 07660-1203 | 2020-10-24 |
| 1669071775 | Destiny Medical Practice LLC | Nurse Practitioner | 10 Amara Ln, Westampton, NJ 08060-5753 | 2020-10-20 |
| 1912505918 | Lamercie Brasier | Nurse Practitioner | 55 Valley Way, West Orange, NJ 07052-5829 | 2020-10-12 |
| 1568069912 | Christine B Adams | Nurse Practitioner | 75 Lane Rd, Fairfield, NJ 07004-1044 | 2020-10-07 |
| 1255938361 | Maryjoy Marzan | Nurse Practitioner | Hope Tower - Jersey Shore University Medical Center, 19 Davis St 6th Floor, Neptune, NJ 07753 | 2020-10-02 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1861009342 | Maria Angela Flores | Nurse Practitioner | 482 William Way N, Wyckoff, NJ 07481-1722 | 2020-09-28 |
| 1437764545 | Alison O'neill | Nurse Practitioner | 720 Monroe St Ste E407, Hoboken, NJ 07030-6356 | 2020-09-15 |
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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.