MRS. OLUBUKOLA OLAOLU OGUNNOWO (NPI# 1407007453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407007453 |
| Entity Type | Individual |
| Full Name | MRS. OLUBUKOLA OLAOLU OGUNNOWO |
| Credential | NP |
| Practice Address |
168 Frontage Rd Newark NJ 07114-3721 |
| Practice Telephone | 9734653670 |
| Mailing Telephone | 9734653670 |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 26NJ00147700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00147700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
168 FRONTAGE RD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07114-3721 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043721301 | Lauren Nicole Genarelli | Social Worker | 168 Frontage Rd, Newark, NJ 07114-3721 | 2017-10-13 |
| 1215281027 | David Adrian Mccombs Maxey | Psychologist | 168 Frontage Rd, Newark, NJ 07114-3721 | 2012-10-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003417288 | Ariane Monique Chua Dequina | Registered Nurse | 340 Airis Drive, Newark, NJ 07114 | 2020-11-04 |
| 1235746553 | Ellen Smith | Nurse Practitioner | 340 Airis Dr., Suite 203, Newark, NJ 07114 | 2020-09-30 |
| 1760097018 | Joslainez Gonzalo | Social Worker | 47 Miller Street, Newark, NJ 07114 | 2020-09-14 |
| 1497116156 | Berdine Macasero | Nurse Practitioner | Newark Liberty Airport, Terminal C, Room #136, Newark, NJ 07114 | 2016-03-09 |
| 1164813218 | Eugene F Vane Jr. | Dentist | 168 Frontage Road, Newark, NJ 07114 | 2015-02-11 |
| 1356769277 | Jewish Renaissance Medical Center, Inc. | Clinic/Center | 258-380 Verona Avenue, Newark, NJ 07114 | 2014-03-29 |
| 1871886549 | Debora Gildin | Nurse Practitioner | Continental Airline's Take-care Health Center, Newark International Airport Terminal C, Suite 136, Newark, NJ 07114 | 2011-05-27 |
| 1871890079 | Ewr Medport | Clinic/Center | 339 Brewster Rd, Ste 201, Newark, NJ 07114 | 2011-02-24 |
| 1023331337 | Jeffrey Witz | Chiropractor | Newark Liberty International Airport, Bldg 339 Ste 201, Newark, NJ 07114 | 2010-03-02 |
| 1073794244 | Amelita Escalona Canubida | Nurse Practitioner | Newark International Airport, Terminal C, Room 136, Newark, NJ 07114 | 2007-11-16 |
| Find all providers in zip 07114 | ||||
| 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 | ||||
Please comment or provide details below to improve the information on MRS. OLUBUKOLA OLAOLU OGUNNOWO.
| 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.