MR. MIGUEL ORLANDO PEDRAJA (NPI# 1033674023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033674023 |
| Entity Type | Individual |
| Full Name | MR. MIGUEL ORLANDO PEDRAJA |
| Practice Address |
24 Jones St Apt 233 Newark NJ 07103-3841 |
| Practice Telephone | 7869532023 |
| Mailing Telephone | 7869532023 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
26NJ00900000 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
24 JONES ST APT 233 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-3841 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114479771 | Rozana Ally | Nurse Practitioner | 285 2nd Ave W, 2nd Floor, Newark, NJ 07107-2428 | 2016-10-31 |
| 1942603584 | Marlene Hall | Nurse Practitioner | 27 Ingraham Pl, Newark, NJ 07108-1415 | 2014-09-26 |
| 1073851754 | Anthony Deaton | Nurse Practitioner | 6456 Escallonia Dr, Newark, CA 94560-4724 | 2013-01-30 |
| 1427679299 | Krishna Gandhi | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-02 |
| 1275174997 | Andrew Lord Vincent | Nurse Practitioner | 200 Hygeia Dr Ste 1360, Newark, DE 19713-2049 | 2019-10-03 |
| 1578113189 | Natalie A Davidson | Nurse Practitioner | 1200 Driving Park Ave, Newark, NY 14513 | 2019-09-16 |
| 1306496377 | Ma. Cecilia De Jesus Lopez | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-09-12 |
| 1003460486 | Casey Yeonjoo Cho | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2019-07-24 |
| 1811477797 | Krista Lynette Jones | Nurse Practitioner | 2269 Cherry Valley Rd Se, Newark, OH 43055 | 2018-08-20 |
| 1306337381 | Tina Marie Dickinson | Nurse Practitioner | 1200 Driving Park Ave, Newark, NY 14513-1090 | 2018-05-24 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on MR. MIGUEL ORLANDO PEDRAJA.
| 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.