ANNA MANIOUDAKIS (NPI# 1952914244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952914244 |
| Entity Type | Individual |
| Full Name | ANNA MANIOUDAKIS |
| Credential | APRN, FNP-C |
| Practice Address |
3540 Kennedy Blvd. Jersey City NJ 07307 |
| Practice Telephone | 2016562273 |
| Practice Fax Number | 2017199678 |
| Mailing Telephone | 2016562273 |
| Mailing Fax Number | 2017199678 |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2020-09-25 |
| NPI Deactivation Date | 09/22/2020 |
| NPI Reactivation Date | 2020-09-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 26NJ01048200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4151 Amboy Rd Apt 2, Staten Island, NY 103082301 | 7327732227 |
| Street Address |
3540 KENNEDY BLVD. |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| 1013278985 | Atef Magdy-isaac Ibrahim | Pharmacist | 69 Bowers St, Jersey City, NJ 07307 | 2012-06-06 |
| Find all providers in zip 07307 | ||||
| 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 |
|---|---|---|---|---|
| 1346872595 | Dulce Corazon Mendoza Bayot | Nurse Practitioner | 264 Custer Ave, Jersey City, NJ 07305-1705 | 2020-02-06 |
| 1497394605 | Maria Esther Fuentes | Nurse Practitioner | 15 Jefferson Ave Apt 2f, Jersey City, NJ 07306-1023 | 2020-01-06 |
| 1154867695 | Christine Frances Cherami | Nurse Practitioner | 444 Jersey Ave, Apt 9, Jersey City, NJ 07302-4000 | 2017-01-09 |
| 1396102059 | Urban Behavioral Health Services Corporation | Nurse Practitioner | 424 Martin Luther King Jr Dr, Jersey City, NJ 07304-2210 | 2016-01-25 |
| 1851767420 | Christopher Bennett | Nurse Practitioner | 205 Arlington Ave, Jersey City, NJ 07305-4438 | 2015-08-18 |
| 1245366087 | Maryann Mc Govern | Nurse Practitioner | 961 Garfield Ave, Jersey City, NJ 07305 | 2007-02-26 |
| 1073563284 | Sherri Boseski | Nurse Practitioner | 196 Jewett Ave, Jersey City, NJ 07304-1804 | 2006-05-10 |
| 1710588827 | Marlyn Alvarado | Nurse Practitioner | 355 Grand St, Jersey City, NJ 07302-4321 | 2020-11-04 |
| 1124660949 | Heidi Rosanna Millan | Nurse Practitioner | 550 Summit Ave, Jersey City, NJ 07306 | 2019-10-14 |
| 1063069110 | Madelyn Cordero | Nurse Practitioner | 142 Palisade Ave, Jersey City, NJ 07306-1133 | 2019-08-23 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
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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.