MRS. JUSTINE RENEE KROUGLIAK (NPI# 1932526399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932526399 |
| Entity Type | Individual |
| Full Name | MRS. JUSTINE RENEE KROUGLIAK |
| Credential | NP-C |
| Practice Address |
125 Clark St Bloomingdale NJ 07403-1311 |
| Practice Telephone | 6099222453 |
| Mailing Telephone | 6099222453 |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2014-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ00489000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
125 CLARK ST |
| City | BLOOMINGDALE |
| State | NJ |
| Zip Code | 07403-1311 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326158197 | Hedoneia Jaaj | Physician Assistant | 34 A Main Street, Bloomingdale, NJ 07403 | 2006-08-30 |
| 1871669408 | Roshanak Elmendorf | Dentist | 142 Main Street, Bloomingdale, NJ 07403 | 2006-11-27 |
| 1316290976 | Jessica Rodriguez | Behavioral Analyst | 3 Waterfall Ct, Bloomingdale, NJ 07403-1030 | 2012-10-19 |
| 1265068167 | Alpha and Omega Industries LLC | Nutritionist | 37 Waterfall Ct, Bloomingdale, NJ 07403-1038 | 2020-03-23 |
| 1760416911 | Pilot Medical Services, LLC | Ambulance | 13 1st St # 15, Unit 3, Bloomingdale, NJ 07403-1213 | 2006-07-11 |
| 1376842914 | Family Medicine Group LLC | Family Medicine | 73 Clark St, Bloomingdale, NJ 07403-1300 | 2011-03-22 |
| 1154885119 | Dawn Fuller | Counselor | 1 James Ave, Bloomingdale, NJ 07403-1316 | 2019-01-24 |
| 1043689540 | Community Options, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 10 Winfred Ct, Bloomingdale, NJ 07403-1327 | 2015-09-15 |
| 1912158015 | David Kingsley | Radiology | 119 Demarest Rd, Bloomingdale, NJ 07403-1404 | 2008-10-07 |
| 1912293887 | Jennifer Adams-barsch | Social Worker | 23 South Rd, Bloomingdale, NJ 07403-1425 | 2011-06-20 |
| Find all providers in zip 07403 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568818219 | Febin Mathew | Nurse Practitioner | 11 Founders Pointe N, Bloomingdale, IL 60108-1459 | 2016-05-12 |
| 1922445196 | Allyson Grace Luski | Nurse Practitioner | 23 Hilltop Ter, Bloomingdale, NJ 07403-1509 | 2013-05-29 |
| 1427608090 | Jennelyn M Belcina | Nurse Practitioner | 113 W Lake St, Bloomingdale, IL 60108-1006 | 2019-09-16 |
| 1053862201 | Jessica Claire Drew | Nurse Practitioner | 303 E Army Trail Rd, Suite 100, Bloomingdale, IL 60108-2169 | 2016-10-21 |
| 1225438278 | Jenny Koshy | Nurse Practitioner | 245 S Gary Ave, Suite 100, Bloomingdale, IL 60108-2228 | 2014-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790732 | Emine Salif | Nurse Practitioner | 74 Union Ave Apt 4, Clifton, NJ 07011-2673 | 2020-11-06 |
| 1487255766 | Michelle Lynn Portadin | Nurse Practitioner | 19 Oak Glen Ln, Colts Neck, NJ 07722-1612 | 2020-11-04 |
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1437756954 | Maria J Tejada | Nurse Practitioner | 1163 Route 37 W Ste D4, Toms River, NJ 08755-4975 | 2020-10-07 |
| 1154938876 | Nancy Phillips | Nurse Practitioner | 202 Lisa Pl, North Brunswick, NJ 08902-5572 | 2020-09-27 |
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1215547427 | Alison Del Duca | Nurse Practitioner | 10 Redshaw Blvd, Old Bridge, NJ 08857-4331 | 2020-08-03 |
| 1568071173 | Advanced Medical and Wellness Centers L.L.C. | Nurse Practitioner | 65 Newton Sparta Rd, Newton, NJ 07860-2816 | 2020-07-29 |
| 1659995025 | Downbeach Healthcare Consultants | Nurse Practitioner | 303 N Clermont Ave, Margate City, NJ 08402-2029 | 2020-06-02 |
| 1215559695 | Rutgers, School of Nursing-camden Community Health Clinics | Nurse Practitioner | The Branches Health Center, 1700 South 9th Street, Camden, NJ 08104 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMINGDALE |
| Zip Code | 07403 |
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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.