IKENNA OBIAKWATA (NPI# 1528696614) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528696614 |
| Entity Type | Individual |
| Full Name | IKENNA OBIAKWATA |
| Practice Address |
36 Duncan Ave Apt D1 Jersey City NJ 07304-2151 |
| Practice Telephone | 9739416104 |
| Enumeration Date | 2020-04-01 |
| Last Update Date | 2020-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
36 DUNCAN AVE APT D1 |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07304-2151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790324085 | Marlon Q Lopez | Physical Therapist | 438 West Avenue, Virginia Cor Ege, Jersey, NJ 07304 | 2020-01-03 |
| 1033621842 | Dipty Mali | Physical Therapist | 520 Bergen Avenue, Jersey City, NJ 07304 | 2017-11-02 |
| 1861914434 | Eulalia Rivera | Licensed Practical Nurse | 140 Boyd Ave, Jersey City, NJ 07304 | 2017-07-14 |
| 1336509223 | Hyojin Park | Student in an Organized Health Care Education/Training Program | 935 Garfield Avenue, Metropolitan Family Health Network, Inc. - Jersey City, Jersey City, NJ 07304 | 2016-03-04 |
| 1962878413 | Hudson Milestones | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 13-15 Miller Street, Jersey City, NJ 07304 | 2015-08-19 |
| 1336515881 | Hudson Milestones | Day Training, Developmentally Disabled Services | 355 Clendenny Avenue, Jersey City, NJ 07304 | 2015-08-19 |
| 1922482025 | Cosmo Pharmacy LLC | Pharmacy | 402 Pacific Avenue, Jersey City, NJ 07304 | 2015-07-17 |
| 1033513171 | Walgreens | Health Maintenance Organization | 2395 John Kennedy Blvd, Jersey City, NJ 07304 | 2014-10-17 |
| 1427460138 | Medical Claims Adjustment Pros | Spec/Tech, Health Info | 79 Jewett Avenue Ste 2, Jersey City, NJ 07304 | 2014-05-29 |
| 1801133103 | Hoboken Holistic Physical Therapy and Sports Medicine LLC | Acupuncturist | 701 State Route 440 Suite 21, Jersey City, NJ 07304 | 2013-01-08 |
| Find all providers in zip 07304 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083236525 | Emmanuel Mogire | Student in an Organized Health Care Education/Training Program | 274 Stevens Ave, Jersey City, NJ 07305-1314 | 2020-05-07 |
| 1285254250 | Yazan Ahmad Alkhawam | Student in an Organized Health Care Education/Training Program | 273 16th St Apt 714, Jersey City, NJ 07310-1041 | 2020-04-20 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1114575503 | Mussyyab Iqbal | Student in an Organized Health Care Education/Training Program | 280 Marin Blvd Apt 3i, Jersey City, NJ 07302-3690 | 2019-08-28 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1952964454 | Jennifer Kurowicki | Student in an Organized Health Care Education/Training Program | 25 Park Ln S Apt 801, Jersey City, NJ 07310-3124 | 2019-04-19 |
| 1184287286 | Erick Heiman | Student in an Organized Health Care Education/Training Program | 414 Grand St Ste 14, Jersey City, NJ 07302-4240 | 2019-04-15 |
| 1700346715 | Gustavo Giancarlo Sanchez Soto | Student in an Organized Health Care Education/Training Program | 543 Central Ave Apt 3, Jersey City, NJ 07307-2595 | 2019-03-25 |
| 1467934976 | Orlando Robledo Jr. | Student in an Organized Health Care Education/Training Program | 70 Hancock Ave Apt 3r, Jersey City, NJ 07307-2221 | 2018-08-30 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07304 |
Please comment or provide details below to improve the information on IKENNA OBIAKWATA.
| 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.