Mrs. Nancy E Sudol
Nurse Practitioner (Adult Health)

Address: 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706
Phone: 6096526947

Mrs. Nancy E Sudol (NPI# 1306054978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1306054978
Entity Type Individual
Full Name Mrs. Nancy E Sudol
Credential ANPC
Gender Female
Practice Address 408 E Jimmie Leeds Rd
Galloway
NJ 08205-9706
Practice Telephone 6096526947
Practice Fax Number 6097489075
Mailing Address 607 Pineview Dr
Galloway
NJ 08205-6012
Mailing Telephone 6097482760
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-18
Last Update Date 2007-07-08

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LA2200X Nurse Practitioner · Adult Health Physician Assistants & Advanced Practice Nursing Providers NJ

Physician Overview

NPI 1306054978
PAC ID by PECOS 9537324389
Professional Enrollment ID I20120629000454
Full Name Nancy E. Sudol
Organization Legal Name RELIANCE MEDICAL GROUP LLC
Phone Number 6096526947
Gender F
Graduation Year 1996
Primary Specialty NURSE PRACTITIONER
Group Practice PAC ID 0648163659
Number of Group Practice Members 29
Accepts Medicare Assignment Y
Report Quality Measures Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310064 ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS

Office Location

Street Address 408 E JIMMIE LEEDS RD
City GALLOWAY
State NJ
Zip Code 08205-9706

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962483198 Cecilia West Nurse Practitioner 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2005-11-05
1235510587 Erica Adams Dietitian, Registered 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2015-06-12
1104255181 Danielle Mcdevitt Dietitian, Registered 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2013-11-11
1538407655 Robert R R Sudol Md LLC Specialist 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2013-01-24
1952604753 Atlantic Dietitians LLC Dietitian, Registered 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2010-12-16
1295966208 Sandra D Roberts Dietitian, Registered 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2009-08-07
1932317526 Audrey C Kaufman Registered Nurse 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2007-05-18
1154424182 Robert Russell Sudol Internal Medicine 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2006-09-06
1598734477 Tracey A Hessert Nurse Practitioner 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2006-03-14

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982176533 Center for Family Services, Inc. Community/Behavioral Health 312 East White Horse Pike, Absecon, NJ 08205 2018-12-20
1780178707 Atlantic Community Charter School Case Management 112 South New York Rd, Galloway, NJ 08205 2018-06-22
1467985952 Brian Pauling Chiropractor 506 S. New York Rd., Galloway, NJ 08205 2017-04-11
1598118903 Career Opportunity Development, Inc. Community Based Residential Treatment Facility, Mental Retardati 106 Jim Leeds Road, Galloway, NJ 08205 2016-07-20
1710350764 Caringhouse Projects, Inc Respite Care 406 First Avenue, Galloway, NJ 08205 2015-11-12
1033582085 Caringhouse Projects, Inc Respite Care 506 2nd Avenue, Galloway, NJ 08205 2015-11-12
1407229446 Caringhouse Projects, Inc Respite Care 513 Pitney Road, Galloway Township, NJ 08205 2015-11-12
1407229784 Caringhouse Projects, Inc Respite Care 500 East Summerwood Place, Galloway Township, NJ 08205 2015-11-09
1821477431 Convenient Primary Care Internal Medicine 48 S New York Rd Suite B-3, Smithville, NJ 08205 2015-05-28
1821491192 Smithville Podiatry & Wound Care LLC Podiatrist 29 South New York Rd, Suite 800, Smithville, NJ 08205 2014-10-01
Find all providers in zip 08205

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053686931 Rosario Marquez Alfaro Nurse Practitioner 403 Ebony Tree Ave, Galloway, NJ 08205-4429 2012-03-12
1386609030 Lynda Myhre Adamson Nurse Practitioner 53 W White Horse Pike, Galloway, NJ 08205-9450 2006-04-18
1962483198 Cecilia West Nurse Practitioner 408 E Jimmie Leeds Rd, Galloway, NJ 08205-9706 2005-11-05
1861784423 Holly D. Bennett Nurse Practitioner 310 Chris Gaupp Dr, Suite 102, Galloway, NJ 08205-4461 2011-05-13
1629103189 Jacqueline Toth Nurse Practitioner 76 W Jimmie Leeds Rd, Suite 201, Galloway, NJ 08205-9411 2007-02-23
1912045410 Pamela Ann Devine Paparone Nurse Practitioner 72 W Jimmie Leeds Rd, Galloway, NJ 08205-9406 2007-02-05
1699829317 Claire M Sloyan Nurse Practitioner 72 W Jimmie Leeds Rd, Suite 2100, Galloway, NJ 08205-9406 2007-01-22
1386707172 Deborah Countouris Nurse Practitioner 318 Chris Gaupp Dr, Galloway, NJ 08205-4460 2006-12-19
1104989961 Lisa Kern Nurse Practitioner 318 Chris Gaupp Dr, Galloway, NJ 08205-4460 2006-12-19
1518020312 Rochelle Sateri Nurse Practitioner 318 Chris Gaupp Dr, Galloway, NJ 08205-4460 2006-12-19
Find all providers in GALLOWAY

Competitor

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City GALLOWAY
Zip Code 08205

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Dataset Information

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.

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