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Deactivated NPI 1376736348 Deactivated / Inactive NPI Female Practitioner

Cleola Robertson , LPN

Licensed Practical Nurse • Avenel, NJ

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cleola Robertson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 23, 2007
NPI Deactivation Date April 29, 2019
Total Practice Duration ~12 Years of Practice (2007 – 2019)

Professional Overview & Biography Verified Profile Summary

Cleola Robertson, LPN was a registered Licensed Practical Nurse practicing in Avenel, NJ. Throughout an active medical career spanning 12 years, Cleola Robertson provided care at the practice location at 601 PEACH ST until profile deactivation on 2019-04-29.

Practice Location & Contact Primary Location

Practice Address

601 Peach St

Avenel, NJ 070011067

Telephone 8009506066
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Avenel, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Avenel, NJ (1119 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NJ 26NP03151600

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Denise Mongiello , LPN

Licensed Practical Nurse

NPI 1003023557

Licensed Practical Nurse

Antonea Kouassi , LPN

Licensed Practical Nurse

NPI 1003028168

Licensed Practical Nurse

Jacqueline Todd , RN

Registered Nurse

NPI 1003032996

Registered Nurse

NPI 1003038837

Registered Nurse

Debra Holdowsky , LPN

Licensed Practical Nurse

NPI 1003048794

Licensed Practical Nurse

Kenneth Perren , LPN

Licensed Practical Nurse

NPI 1013037803

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 29, 2019

Record deactivated on April 29, 2019

NPI Profile Active August 23, 2007

NPI status registered as active in NPPES database

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Updated Practice Location August 23, 2007

Registered at 601 PEACH ST, AVENEL, NJ 070011067 (Tel: 8009506066)

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Updated Business Mailing Address August 23, 2007

Registered at 601 PEACH ST, AVENEL, NJ 070011067 (Tel: 8009506066)

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Provider Name / Credentials Updated August 23, 2007

Recorded as CLEOLA ROBERTSON, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2007

Licensed Practical Nurse (License #26NP03151600 in NJ)

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Initial NPI Registration & Enumeration August 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1376736348
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 23, 2007
Last Update: August 23, 2007
Deactivation Date: April 29, 2019

Mailing Address

601 Peach St

Avenel, NJ 070011067

Phone: 8009506066

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.