MARESA CHRISZIA EDUARTE FUENTES (NPI# 1902294333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902294333 |
| Entity Type | Individual |
| Full Name | MARESA CHRISZIA EDUARTE FUENTES |
| Practice Address |
99 Beauvoir Ave Summit NJ 07901-3533 |
| Mailing Address |
17 Henning Ter Denville NJ 07834-3716 |
| Practice Telephone | 9085225540 |
| Mailing Telephone | 9733432390 |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2015-01-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00514700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
99 BEAUVOIR AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010079 | John Halperin | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2005-08-17 |
| 1902404486 | Jenna Lin Boni | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-10-15 |
| 1508483116 | Khawaja Bakhtawar | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-30 |
| 1891312658 | Odon Makonko Nsungu | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-28 |
| 1316563679 | Sheryl Thant Yu Htoo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-23 |
| 1750906327 | Emily Findakly | Physician Assistant | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-10 |
| 1659994465 | Jefferson Isibor | Pharmacist | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-05-27 |
| 1437779493 | Jason Robert Steiner | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-20 |
| 1114556669 | Jacqueline Bobson | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-06 |
| 1508495524 | John David Yachmetz | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518437821 | Brigitte Francesca Mcnamara | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2018-11-29 |
| 1487130860 | Marisa Vanbuskirk | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2018-07-18 |
| 1568985471 | Kevin Tan | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2017-07-23 |
| 1568873396 | Kevin Koetters | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2014-05-14 |
| 1831481381 | James Joseph Soltis | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2011-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628573 | Sarulatha Narasimhan | Nurse Practitioner | 24 Fairmount Ave, Edison, NJ 08820-2049 | 2020-10-27 |
| 1881292704 | Jaesun Jung | Nurse Practitioner | 51 65th St, West New York, NJ 07093-4103 | 2020-10-13 |
| 1831796119 | Stephanie Lynn Polperio | Nurse Practitioner | 601 Route 37 W Ste 104, Toms River, NJ 08755-8050 | 2020-10-08 |
| 1922611490 | Rebecca Sydney Bandler | Nurse Practitioner | 6 Stony Hill Dr, Morganville, NJ 07751-1175 | 2020-08-25 |
| 1386254654 | Sara Draper | Nurse Practitioner | 26 Plaza Pl, Pleasantville, NJ 08232-3519 | 2020-08-03 |
| 1194346171 | Evan James Forbes | Nurse Practitioner | 714 Heritage Rd, Cinnaminson, NJ 08077-3748 | 2020-05-01 |
| 1316572464 | Julie Lynn Mcdonald | Nurse Practitioner | 445 Hurffville Crosskeys Rd Ste B16, Sewell, NJ 08080-2351 | 2020-03-10 |
| 1124651203 | Elizalde Legarda Villaruz | Nurse Practitioner | 1 Slate Hill Rd, Newton, NJ 07860-1113 | 2020-02-18 |
| 1972134583 | Clare C Schuld | Nurse Practitioner | 30 Hyde Park Dr, East Brunswick, NJ 08816-5239 | 2020-02-01 |
| 1235769910 | Rebeca Raquel Iztueta | Nurse Practitioner | 19 Gallagher Ln, Wharton, NJ 07885-1907 | 2020-01-22 |
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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.