JAN FORD (NPI# 1912564428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912564428 |
| Entity Type | Individual |
| Full Name | JAN FORD |
| Credential | NP |
| Practice Address |
35 Appleton Dr Brick NJ 08723-7907 |
| Practice Telephone | 8606258413 |
| Mailing Telephone | 8606258414 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00922600 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | ADVANCED PRACTICE NURSE | 26NJ00922600 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356860969 | Jan R Ford | Counselor | 14904 Jefferson Davis Hwy Ste 209, Woodbridge, VA 22191-3908 | 2017-09-14 |
| Street Address |
35 APPLETON DR |
| City | BRICK |
| State | NJ |
| Zip Code | 08723-7907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437829 | Michael Gatto | Hearing Instrument Specialist | 2791 Hooper Ave, Brick, NJ 08723 | 2020-11-02 |
| 1366066235 | Brx LLC | Pharmacy | 250 Chambers Bridge Rd, Brick, NJ 08723 | 2020-06-05 |
| 1982179875 | Enable, Inc. | Residential Treatment Facility, Physical Disabilities | 481 Herbertsville Road, Brick, NJ 08723 | 2018-10-08 |
| 1689154585 | Erica Beckenhauer | Physical Therapist | 909 Cedarbridge Avenue, Brick, NJ 08723 | 2018-08-20 |
| 1578059283 | Bricktowne Pharmacy LLC | Pharmacy | 101 Prosper Way, Unit C, Brick, NJ 08723 | 2018-07-05 |
| 1376045088 | Katie Lynn Hueth | Counselor | 74 Brick Blvd., Building 4, Suite 206b, Brick, NJ 08723 | 2018-03-08 |
| 1548786445 | Apmr Chiropractic | Chiropractor | 56 Chambers Bridge Road, Brick, NJ 08723 | 2017-08-22 |
| 1972050441 | Donna Francese | Counselor | 104 Teakwood Drive, Brick, NJ 08723 | 2016-09-01 |
| 1780130377 | Eastern Dental of Ocean/monmouth, LLC | Dentist | 2770 Hooper Ave., Unit 4, Brick, NJ 08723 | 2016-09-01 |
| 1073066700 | Garden State Smiles of Brick | Dentist | 525 Route 70 E, Suite 1a, Brick, NJ 08723 | 2016-07-29 |
| Find all providers in zip 08723 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536842 | Stephanie Ann Papa | Nurse Practitioner | 2125 Nj 88, Brick, NJ 08724 | 2019-09-11 |
| 1346895778 | Mary May Montenegro | Nurse Practitioner | 220 Samantha Ct, Brick, NJ 08724-7133 | 2019-08-02 |
| 1528523867 | Melissa A. Johnson | Nurse Practitioner | 190 Jack Martin Blvd Bldg B3, Brick, NJ 08724-7728 | 2019-01-31 |
| 1710313341 | Lauren Courtney Bracken | Nurse Practitioner | 989 Burnt Tavern Rd, Suite 2, Brick, NJ 08724-2014 | 2013-09-14 |
| 1750539771 | Stephanie Giles | Nurse Practitioner | 1673 Highway 88, Brick, NJ 08724-3071 | 2008-09-03 |
| 1477733483 | Laurie Elleanore Greisch | Nurse Practitioner | 150 Chambersbridge Rd, Suite 201, Brick, NJ 08723-3491 | 2007-11-07 |
| 1861092009 | Shirielle Tziporah Avakian | Nurse Practitioner | 2125 Route 88, Brick, NJ 08724-3273 | 2020-10-27 |
| 1679197933 | Pessy Kramer | Nurse Practitioner | 425 Jack Martin Blvd, Brick, NJ 08724-7732 | 2020-06-02 |
| 1427685205 | Heather Attardo | Nurse Practitioner | 989 Burnt Tavern Rd, Brick, NJ 08724-2014 | 2020-03-24 |
| 1407311145 | Kateri Hendrickson | Nurse Practitioner | 989 Burnt Tavern Rd Ste 2, Brick, NJ 08724-2014 | 2019-02-06 |
| Find all providers in BRICK | ||||
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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.