Provider Demographics
NPI:1649540477
Name:JAMES, DREAMY
Entity type:Individual
Prefix:
First Name:DREAMY
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DREAMY
Other - Middle Name:
Other - Last Name:SAMUEL JAMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:45 CHAMPLAIN WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1721
Mailing Address - Country:US
Mailing Address - Phone:732-422-7297
Mailing Address - Fax:732-422-7297
Practice Address - Street 1:10 PLUM ST
Practice Address - Street 2:7TH FLOOR TRANSPLANT CENTER
Practice Address - City:NEW BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08901-2065
Practice Address - Country:US
Practice Address - Phone:732-253-3699
Practice Address - Fax:732-253-3467
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NJ00346200363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health