MRS. SOON JA OH


Address: 130a W Pleasant Ave, Maywood, NJ 07607-1357
Phone: 2018204477

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 130A W PLEASANT AVE
City MAYWOOD
State NJ
Zip Code 07607-1357

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NPI Name Taxonomy Address Enumeration
1356789861 Ann Mary Thomas Physician Assistant 130a W Pleasant Ave, Maywood, NJ 07607-1357 2013-06-06

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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
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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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
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Competitor

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City MAYWOOD
Zip Code 07607

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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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