IVY NNOROM (NPI# 1447737077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447737077 |
| Entity Type | Individual |
| Full Name | IVY NNOROM |
| Credential | NP |
| Practice Address |
65 Jay St Newark NJ 07103-3235 |
| Mailing Address |
30 Hazel Pl Irvington NJ 07111-3908 |
| Practice Telephone | 9734836800 |
| Mailing Telephone | 8622001888 |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
26NJ00827300 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
65 JAY ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-3235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902895501 | Newark Extended Care Facility, Inc. | Skilled Nursing Facility | 65 Jay St, Newark, NJ 07103-3235 | 2005-10-17 |
| 1215312558 | Amanda Singletary | Occupational Therapist | 65 Jay St, Newark, NJ 07103-3235 | 2015-07-28 |
| 1255720124 | Sight Services P.C. | Optometrist | 65 Jay St, Newark, NJ 07103-3235 | 2015-01-15 |
| 1336546639 | Sinai Center for Rehabilitation and Healthcare LLC | Skilled Nursing Facility | 65 Jay St, Newark, NJ 07103-3235 | 2014-12-02 |
| 1063645265 | Peter L Basso | Pharmacist | 65 Jay St, Newark, NJ 07103-3235 | 2009-09-03 |
| 1215115274 | Newark Extened Care Facility Inc | Clinic/Center | 65 Jay St, Newark, NJ 07103-3235 | 2008-02-01 |
| 1962534008 | Paulette Mary Kliminski | Psychologist | 65 Jay St, Newark, NJ 07103-3235 | 2007-03-12 |
| 1558451427 | 15w Pharmacy Inc | Pharmacy | 65 Jay St, Newark, NJ 07103-3235 | 2006-10-13 |
| 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 | 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 |
| Find all providers in NEWARK | ||||
Please comment or provide details below to improve the information on IVY NNOROM.
| 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.