MRS. SOON JA OH (NPI# 1902183676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902183676 |
Entity Type | Individual |
Full Name | MRS. SOON JA OH |
Other Name | MRS. MARIA OH |
Credential | APN |
Practice Address |
130a W Pleasant Ave Maywood NJ 07607-1357 |
Mailing Address |
42 Lakewood Terrace Bloomfield NJ 07003 |
Practice Telephone | 2018204477 |
Mailing Telephone | 9736808733 |
Enumeration Date | 2011-11-09 |
Last Update Date | 2014-08-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163WX0200X |
Registered Nurse Specialization: Oncology |
26NO09947700 | NJ | Nursing Service Providers |
N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
26NJ00417700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
26NJ00417700 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
130A W PLEASANT AVE |
City | MAYWOOD |
State | NJ |
Zip Code | 07607-1357 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356789861 | Ann Mary Thomas | Physician Assistant | 130a W Pleasant Ave, Maywood, NJ 07607-1357 | 2013-06-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
Find all providers in zip 07607 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
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NPI | Name | Taxonomy | Address | Enumeration |
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1710586987 | Rosemarie B Londono | Nurse Practitioner | 20 Prospect Ave Ste 600, Hackensack, NJ 07601-1962 | 2020-10-20 |
1063010940 | Shruti Satish Patel | Nurse Practitioner | 78 Diana Dr, South Plainfield, NJ 07080-4437 | 2020-10-13 |
1366049058 | Sedrina Taina Austin | Nurse Practitioner | 82 Poplar Ave, Hackensack, NJ 07601-4707 | 2020-10-06 |
1952912768 | Holly M Gonzalez | Nurse Practitioner | 240 Williamson St Ste 306, Elizabeth, NJ 07202-3672 | 2020-08-14 |
1073124327 | Queen K Aggrey | Nurse Practitioner | 1308 Wharton Rd, Mount Laurel, NJ 08054-5296 | 2020-08-11 |
1497365480 | Ann Margaret Prejs | Nurse Practitioner | 2401 Highway 35 Ste A, Manasquan, NJ 08736-1193 | 2020-08-04 |
1164046355 | Barbara Raymond | Nurse Practitioner | 776 Nixon Rd, Union, NJ 07083-7620 | 2020-06-03 |
1871112557 | Care First-choice | Nurse Practitioner | 302 Harrison Ave, Millville, NJ 08332-2408 | 2020-04-13 |
1568081461 | Melissa N Pagan | Nurse Practitioner | 128 Maple St, Jersey City, NJ 07304-3733 | 2020-04-10 |
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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.