AKUWA D GBOGBOTSI (NPI# 1518576206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518576206 |
Entity Type | Individual |
Full Name | AKUWA D GBOGBOTSI |
Credential | APN |
Practice Address |
741 Broadway Newark NJ 07104-4309 |
Practice Telephone | 9734831300 |
Mailing Telephone | 9734831300 |
Enumeration Date | 2020-07-28 |
Last Update Date | 2020-08-27 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 26NR17883100 | NJ | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ01049700 | 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 |
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 |
1235533639 | Mercy Otieno | Nurse Practitioner | 741 Broadway, Newark, NJ 07104-4309 | 2014-10-14 |
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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 | 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 |
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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.