TIWADAYO SAM-ODUSINA


Address: 300 2nd Ave, Long Branch, NJ 07740-6395
Phone: 7329237251

TIWADAYO SAM-ODUSINA (NPI# 1235749839) 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) 1235749839
Entity Type Individual
Full Name TIWADAYO SAM-ODUSINA
Practice Address 300 2nd Ave
Long Branch
NJ 07740-6395
Practice Telephone 7329237251
Practice Fax Number 7329237255
Mailing Telephone 7329237251
Mailing Fax Number 7329237255
Enumeration Date 2020-08-07
Last Update Date 2020-08-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program NJ Student, Health Care

Office Location

Street Address 300 2ND AVE
City LONG BRANCH
State NJ
Zip Code 07740-6395

Providers in the same location

NPI Name Taxonomy Address Enumeration
1346246048 Kathleen L Mcdonald Radiology 300 2nd Ave, Long Branch, NJ 07740-6303 2005-06-27
1992302798 Shannon Margaret Kirk Nurse Practitioner 300 2nd Ave, Long Branch, NJ 07740-6395 2020-10-05
1487267241 Poonam Raut Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-30
1356952261 Arundhati Chandini Arjun Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-13
1811507395 Charmee Hitesh Vyas Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-09
1740890508 Rama Maghnam Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-06
1831708239 Kimberly Lily Pereira Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-07-31
1407465818 Niharika Podaralla Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-07-31
1003425505 Michelle Woodfield Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-07-30
1790394187 Ahmad Shaker Alalwan Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043789563 Lauryn Elaine Balestiero Social Worker 75 North Bath Avenue, Long Branch, NJ 07740 2018-11-14
1063991768 Pennreach Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 96 Church St. Apt. 317, Aberdeen, NJ 07740 2018-08-13
1649765785 Tatiana Nuzum Student in an Organized Health Care Education/Training Program 300 2nd Ave # Sw209, Long Branch, NJ 07740 2018-06-29
1558862466 Melissa Gagliardi Social Worker 274 Bath Avenue, Unit 9, Long Branch, NJ 07740 2018-02-26
1871966879 Caringhouse Projects, Inc Respite Care 218 Highland Avenue, Long Branch, NJ 07740 2015-11-12
1083096556 Universal Rehabilitation & Fitness Center Inc Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 73a Dudley St., Long Branch, NJ 07740 2015-06-22
1629450101 Jonathan Kristan Ophthalmology 279 3rd Ave Ste 204, Long Branch, NJ 07740 2015-06-22
1730510769 Elizabeth Worth Registered Nurse 63dunbar Ave, Long Branch, NJ 07740 2013-12-02
1710231022 Pasquale Evangelista Radiology 300 2nd Ave., Department of Radiology, Long Branch, NJ 07740 2012-11-08
1326314162 John Way Chin Pharmacy 134 Brighton Avenue, Long Branch, NJ 07740 2012-03-27
Find all providers in zip 07740

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679068811 Shilpa Telang Student in an Organized Health Care Education/Training Program 300 2nd Ave # 209, Long Branch, NJ 07740-6395 2018-06-29
1003301151 Qais Alloah Student in an Organized Health Care Education/Training Program 300 2nd Ave Apt 6, Long Branch, NJ 07740-6395 2018-06-29
1649765785 Tatiana Nuzum Student in an Organized Health Care Education/Training Program 300 2nd Ave # Sw209, Long Branch, NJ 07740 2018-06-29
1174018212 Arnav Vasudeva Student in an Organized Health Care Education/Training Program 300 2nd Ave Rm 215sw, Long Branch, NJ 07740-6395 2018-06-29
1437644267 Juan Manuel Rojas Student in an Organized Health Care Education/Training Program Monmouth Medical Center, 300 Second Avenue, Long Branch, NJ 07740-6303 2018-06-25
1891958351 Cole Fredrick Paul Mendenhall Student in an Organized Health Care Education/Training Program 50 Dunbar Ave, Apt B, Long Branch, NJ 07740-6406 2008-07-04
1487267241 Poonam Raut Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-30
1356952261 Arundhati Chandini Arjun Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-13
1811507395 Charmee Hitesh Vyas Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-09
1740890508 Rama Maghnam Student in an Organized Health Care Education/Training Program 300 2nd Ave, Long Branch, NJ 07740-6395 2020-08-06
Find all providers in LONG BRANCH

Competitor

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City LONG BRANCH
Zip Code 07740

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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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