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Active NPI 1063100162 Individual Practitioner Female Practitioner

Wanda Lynn Sermon , LPN

Licensed Practical Nurse • Paterson, NJ

Professional Overview & Biography Verified Profile Summary

Wanda Sermon, LPN is a registered healthcare professional specializing in Licensed Practical Nurse in Paterson, NJ. Practice services are available at 350 PREAKNESS AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

350 Preakness Ave

Paterson, NJ 075021757

Telephone 9735951075
Associated Practice Facility / Clinic
🏢 Walgreen Co Facility NPI 1659679280

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Paterson, NJ

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

Practicing in Paterson, 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

CMS Verified: 2023-04-26
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NJ 26NP07315800

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

5 Associated Practitioners
Sean Keem

Pharmacist

NPI 1053044255
Eriny Shenoda

Pharmacist

NPI 1205507183
NPI 1417239039

Doctor of Pharmacy (Pharm.D.)

NPI 1831466416

Registered Pharmacist

NPI 1962176735

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 26, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location April 26, 2023

Registered at 350 PREAKNESS AVE, PATERSON, NJ 075021757 (Tel: 9735951075)

📍
Updated Business Mailing Address April 26, 2023

Registered at 1266 TEANECK RD APT 8, TEANECK, NJ 076664947 (Tel: 9175675989)

👤
Provider Name / Credentials Updated April 26, 2023

Recorded as WANDA SERMON, LPN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2023

Licensed Practical Nurse (License #26NP07315800 in NJ)

🟢
Initial NPI Registration & Enumeration April 26, 2023

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: 1063100162
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 26, 2023
Last Update: April 26, 2023
Sole Proprietor: No

Mailing Address

1266 Teaneck Rd Apt 8

Teaneck, NJ 076664947

Phone: 9175675989

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.