POMEGRANATE WELLNESS HEALTH AESTHETICS (NPI# 1912462029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912462029 |
Entity Type | Organization |
Organization Name | POMEGRANATE WELLNESS HEALTH AESTHETICS |
Practice Address |
203 Girard Rd N Glassboro NJ 08028-2117 |
Practice Telephone | 9737316253 |
Mailing Telephone | 9737316253 |
Enumeration Date | 2019-02-02 |
Last Update Date | 2019-02-02 |
Authorized Official Name | PANSY HARRIS-LANE (OWNER) |
Authorized Official Telephone | 9737316253 |
Authorized Official Credential | APN |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Street Address |
203 GIRARD RD N |
City | GLASSBORO |
State | NJ |
Zip Code | 08028-2117 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508320581 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1328 East Boulevard, Glassboro, NJ 08028 | 2019-01-24 |
1427512599 | Elwyn New Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 210 Pennsylvania Avenue, Glassboro, NJ 08028 | 2019-01-23 |
1639641210 | Seth Frost | Counselor | 2 Delsea Dr S., Glassboro, NJ 08028 | 2018-12-20 |
1083195788 | Strong Tower Social Services, Inc | Clinic/Center | 341 Fish Pond Road, Glassboro, NJ 08028 | 2018-08-22 |
1023506730 | Tri-county Support Coordination LLC | Case Management | 275 E High St, Ste S364, Glassboro, NJ 08028 | 2018-04-27 |
1558872721 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 32 Reading Street, Apt. #2, Glassboro, NJ 08028 | 2017-10-16 |
1073023545 | Assoc. for Retarded Citizens, Inc. Gloucester County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 960 North Main Street, Glassboro, NJ 08028 | 2017-10-10 |
1366978645 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 Aura Rd, Glassboro, NJ 08028 | 2017-05-05 |
1831623594 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3 Potsdam Court, Glassboro, NJ 08028 | 2017-04-19 |
1003340761 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 113 Stoneham Drive, Glassboro, NJ 08028 | 2017-04-19 |
Find all providers in zip 08028 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669089355 | Trans Pacific Medical PC | Clinic/Center | 1590 Anderson Ave Ph 1, Fort Lee, NJ 07024-2711 | 2020-09-26 |
1700402609 | Loihle Medical | Clinic/Center | 93 Montgomery St, Bloomfield, NJ 07003-6003 | 2020-06-17 |
1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on POMEGRANATE WELLNESS HEALTH AESTHETICS.
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.