MR. NKEMDIRIM OTA


Address: 2325 Delmar Ave, Vineland, NJ 08360-6819
Phone: 2672376561

MR. NKEMDIRIM OTA (NPI# 1700427390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1700427390
Entity Type Individual
Full Name MR. NKEMDIRIM OTA
Practice Address 2325 Delmar Ave
Vineland
NJ 08360-6819
Practice Telephone 2672376561
Mailing Telephone 2672376561
Enumeration Date 2019-10-04
Last Update Date 2019-10-04
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
26NR13397600 NJ Nursing Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
NJ 2156710323 05

Office Location

Street Address 2325 DELMAR AVE
City VINELAND
State NJ
Zip Code 08360-6819

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154955128 Zenith Health Care Services LLC Community/Behavioral Health 2325 Delmar Ave, Vineland, NJ 08360-6819 2020-02-27

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NPI Name Taxonomy Address Enumeration
1215534748 Lindsay Gibbons Social Worker 60 W Ave, Vineland, NJ 08360 2020-10-07
1033769849 Buena Vista Township Emergency Medical Services Inc. Ambulance 4931 E. Landis Ave., Vineland, NJ 08360 2019-09-13
1669037636 Elwyn New Jersey Day Training, Developmentally Disabled Services Elwyn New Jersey Supported Employment Small Group, 228 W. Landis Avenue, Suite 302, Vineland, NJ 08360 2019-05-06
1972001519 Kyle James Knowles Physician Assistant 1138 East Chestnut Avenue, Building 8 Suite B, Vineland, NJ 08360 2018-01-29
1205346574 Maryville, Inc Clinic/Center 1173 E Landis Ave, Vineland, NJ 08360 2017-10-02
1184147043 Sarah Lee Pharmacist 75 W Landis Ave, Vineland, NJ 08360 2017-07-24
1780111419 Elwyn New Jersey Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 30 D'shibe Terrace, Vineland, NJ 08360 2017-05-12
1528414810 Khushbu V Janani Internal Medicine 1505 W Sherman Avenue, Inspira Health Network, Vineland, NJ 08360 2016-05-05
1669841409 University Womens Imaging LLC Clinic/Center 1051 West Sherman Avenue, Suite 4a, Vineland, NJ 08360 2015-09-23
1710369350 Elwyn New Jersey Day Training, Developmentally Disabled Services 46 N West Ave, Building A, Vineland, NJ 08360 2015-06-19
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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487289906 Mary Wummi Egbeh Registered Nurse 2056 Indian Dr, Vineland, NJ 08361-6411 2020-03-04
1003041427 Laurie A Nichols Registered Nurse 2848 S Delsea Dr Ste 2c, Vineland, NJ 08360-7042 2009-05-29
1174955702 Rhea A Cooper Registered Nurse 319 W Landis Ave, Vineland, NJ 08360-8101 2013-08-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1093312068 Lilian Orellana Registered Nurse 112 Pershing Ave, Ridgewood, NJ 07450-3512 2020-10-02
1558968610 Adiba A Choudhury Registered Nurse 206 Kearney St # 1f, Paterson, NJ 07522-1918 2020-10-02
1700409653 Andrea Knoerzer Registered Nurse 10 Penn Rd, Voorhees, NJ 08043-4806 2020-05-27
1811519499 Ellen Anne Gall Registered Nurse 2251 Wagner Ln, Manasquan, NJ 08736-1354 2020-05-18
1033764204 Omara Judith Rogalsky Registered Nurse 4 Vista Ct, Ledgewood, NJ 07852-2603 2019-08-05
1932638269 Linda Obiamaka Okose Registered Nurse 13 Buttell Ave, Lakewood, NJ 08701-4704 2017-06-09
1659815710 Patrick Dispoto Registered Nurse 1005 Clifton Ave # 2, Clifton, NJ 07013 2016-12-08
1710421102 Regina Copeland Registered Nurse 737 Salem Rd, Union, NJ 07083-9129 2016-12-05
1639548084 James Cozzan Registered Nurse 6 Linda Lane, Egg Harbor Township, NJ 08234 2015-09-16
1114320710 Damaris Grossmann Registered Nurse 150 Santiago Ave, Rutherford, NJ 07070-1640 2014-09-27
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Competitor

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City VINELAND
Zip Code 08360

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Dataset Information

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.

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