MS. MERCY OTIENO (NPI# 1235533639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235533639 |
| Entity Type | Individual |
| Full Name | MS. MERCY OTIENO |
| Credential | CPNP |
| Practice Address |
741 Broadway Newark NJ 07104-4309 |
| Practice Telephone | 9734831300 |
| Mailing Telephone | 9734831300 |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2015-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
26NJ00521400 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
741 BROADWAY |
| City | NEWARK |
| State | NJ |
| Zip Code | 07104-4309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871580647 | Alan Y Tso | Internal Medicine | 741 Broadway, Newark, NJ 07104-4309 | 2005-10-05 |
| 1538772165 | Monica Yvette Johnson | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2020-08-24 |
| 1518576206 | Akuwa D Gbogbotsi | Registered Nurse | 741 Broadway, Newark, NJ 07104-4309 | 2020-07-28 |
| 1487123386 | Srujana Kraleti | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2018-11-20 |
| 1942726369 | Beyyinah Hasan | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2017-08-17 |
| 1902346810 | Hearns Paul | Social Worker | 741 Broadway, Newark, NJ 07104-4309 | 2017-02-27 |
| 1952843849 | Alexandra Noel | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-11-09 |
| 1619427093 | Nadia Gabaud | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-10-10 |
| 1043669245 | Jorane Bonheur | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2016-06-08 |
| 1700262474 | Raksha Poojary | Dentist | 741 Broadway, Newark, NJ 07104-4309 | 2015-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1386149011 | Community Options Enterprises, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 504-506 Mount Prospect Ave, Newark, NJ 07104 | 2018-03-26 |
| 1710406293 | Bmrr Corporation | Durable Medical Equipment & Medical Supplies | 664 Mt Prospect Ave, Newark, NJ 07104 | 2017-09-15 |
| 1508390287 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 387 Ridge Street, Newark, NJ 07104 | 2017-04-19 |
| 1104280890 | North Essex Pediatrics Inc | Clinic/Center | 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 | 2016-04-08 |
| 1306257076 | Sonia Martinez | Technician/Technologist | 677 Mount Prospect Avenue, Newark, NJ 07104 | 2014-05-15 |
| 1891022612 | Sofia Berkovich | Internal Medicine | 717-727 Broadway, Newark, NJ 07104 | 2009-11-16 |
| 1538302138 | Bellazmin Natalie Taylor | Physician Assistant | 354 Doremus Avenue, Newark, NJ 07104 | 2009-04-13 |
| 1740483502 | Clear Vision Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 677 Mt Prospect Avenue, Newark, NJ 07104 | 2007-06-08 |
| 1083815146 | Rafael A Hernandez | Pharmacist | 794 Mt. Prospect Ave., Newark, NJ 07104 | 2007-05-29 |
| Find all providers in zip 07104 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700432739 | Jessica Lynn Pajak | Nurse Practitioner | 875 Aaa Blvd Ste C, Newark, DE 19713-3624 | 2019-08-15 |
| 1366850547 | Amber Lewis | Nurse Practitioner | 4735 Ogletown-stanton Rd Map 2 Suite 1116, Newark, DE 19713 | 2014-07-31 |
| 1114124203 | Nancy C Whelan | Nurse Practitioner | 200 Lyons Ave, Building L-5 Pediatric Gastroenterology, Newark, NJ 07112-2026 | 2007-07-02 |
| 1851598569 | Cathleen Cahill | Nurse Practitioner | 182 Lyons Ave, Newark, NJ 07112-2026 | 2007-06-27 |
| 1497877260 | Elizabeth O'rourke Sweet | Nurse Practitioner | 501 Ogletown Rd, Hudson State Service Center, Child Health Clinic, Newark, DE 19711-5403 | 2007-04-04 |
| 1164569588 | Martha Coppage-lawrence | Nurse Practitioner | 2575 Glasgow Ave, Newark, DE 19702-4747 | 2007-02-01 |
| 1245216225 | Christine Louise Rudkin | Nurse Practitioner | University of Delaware Student Health Service, Laurel Hall, Newark, DE 19716-8108 | 2005-12-21 |
| 1013579598 | Debra J Brouwer | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-07-03 |
| 1407324403 | Bethany Sigley | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2018-11-07 |
| 1679050025 | Adrian Leibas | Nurse Practitioner | 1671 W Main St, Newark, OH 43055-1345 | 2018-07-27 |
| 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.