DR. JOSHUA D ODERANTI (NPI# 1114441102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114441102 |
| Entity Type | Individual |
| Full Name | DR. JOSHUA D ODERANTI |
| Credential | DNP, APN, FNP-BC |
| Practice Address |
166 Lyons Ave Newark NJ 07112-2016 |
| Practice Telephone | 9739262629 |
| Mailing Telephone | 9739267300 |
| Mailing Fax Number | 9739266187 |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2018-04-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 26NJ00748700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00748700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Robert Wood Johnson Pl Rm 288, New Brunswick, NJ 089011928 | 7322358933 |
| Street Address |
166 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2016 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578521225 | Nbimc Family Health Center | Obstetrics & Gynecology | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-05-03 |
| 1407310329 | University Health Professions | Physician Assistant | 166 Lyons Ave, Newark, NJ 07112-2016 | 2019-01-24 |
| 1902340953 | Navya Kuchipudi | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112 | 2016-12-10 |
| 1891181525 | Angie Buttigieg | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-04-09 |
| 1033503057 | Sarah Stites | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112-2016 | 2015-03-27 |
| 1013223650 | Karen S. Basedow | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112 | 2010-08-20 |
| 1609012525 | Nudrat F Ayub Md LLC | Internal Medicine | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-12-23 |
| 1447405253 | Newark Beth Israel Medical Center Inc | Psychologist | 166 Lyons Ave, Newark, NJ 07112-2016 | 2008-11-20 |
| 1962524975 | Khalid Zuhayr Tabbarah | Psychiatry & Neurology | 166 Lyons Ave, Fhc/ground Floor, Newark, NJ 07112-2016 | 2007-04-03 |
| 1942346820 | Beth Faye Coplan | Dietitian, Registered | 166 Lyons Ave, Newark, NJ 07112 | 2007-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326647892 | Katlyn Brewington | Nurse Practitioner | 1233b Churchmans Rd, Newark, DE 19713-2149 | 2020-10-25 |
| 1851990600 | Brandy Baker | Nurse Practitioner | 494 Yorkshire Dr, Newark, OH 43055-1522 | 2020-10-22 |
| 1508464397 | Abimbola Otufale | Nurse Practitioner | 252b Camden St, Newark, NJ 07103-2434 | 2020-10-13 |
| 1033755608 | Christine Nophut | Nurse Practitioner | 17 Polly Drummond Shpg Ctr, Newark, DE 19711-4820 | 2019-11-19 |
| 1215578091 | Lucy Ogechi Efobi | Nurse Practitioner | 194 Clinton Ave Lowr Level, Newark, NJ 07108-2809 | 2019-10-03 |
| 1518518323 | Jasmine Barksdale | Nurse Practitioner | 4110 Ogletown Stanton Rd, Newark, DE 19713-4169 | 2019-09-23 |
| 1467013136 | Getrude Tate Nguatem | Nurse Practitioner | Churchman Vlg, Newark, DE 19713-2068 | 2019-06-24 |
| 1285298679 | Olufolake Remi Adepoju | Nurse Practitioner | 258 Chapman Rd, Newark, DE 19702-5445 | 2019-05-01 |
| 1285100420 | Vida Araba Paintsil | Nurse Practitioner | University Hospital- Nursing Office, 90 Bergen Street, Newark, NJ 07102-0710 | 2018-10-15 |
| 1992291280 | Palak Praful Desai | Nurse Practitioner | 1 Chestnut Hill Plz, Newark, DE 19713-2701 | 2018-07-10 |
| Find all providers in NEWARK | ||||
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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.