Individual provider Active NPI

Juliet Uwah

  • Family Nurse Practitioner
  • Newark, NJ
National Provider Identifier
1023600384
Registry record updated Feb 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29NJ01107000 Issued in NJ
Practice address
685 Mount Prospect Ave
Newark, NJ 07104-3151
Phone
(973) 873-3126
NPI assigned
Feb 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29NJ01107000 NJ Primary

Addresses

Primary practice location

685 Mount Prospect Ave
Newark, NJ 07104-3151

Mailing address

685 Mount Prospect Ave
Newark, NJ 07104-3151
Phone (973) 873-3126

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL Newark Direct
Other URL Newark Direct
Other URL Newark Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210721004171 NJ Practitioner - Nurse Practitioner 5799188249 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of NewarkGroup PAC ID 8123169182, 11 clinicians

Practice addresses (Care Compare)

394 University Ave
Newark, NJ 07102-1221
Phone (973) 424-4271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29NJ01107000NJMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
City of Newark CurrentSince Apr 15, 2023 Accepting new patients
City of Newark CurrentSince Apr 15, 2023 Accepting new patients
Jersey Irish Medical CurrentSince Dec 3, 2021 Accepting new patients
Newark Community Health Centers, Inc. Current Accepting new patients
Newark Community Health Centers, Inc CurrentSince Aug 1, 2021 Accepting new patients
City of Newark Past Accepting new patients
City of Newark Past Accepting new patients

Locations

601 W Union Ave
Bound Brook, NJ 08805
Phone (732) 469-3627

601 W Union Ave
Ste 1
Bound Brook, NJ 08805
Phone (732) 469-3627

400 Westfield Ave
Elizabeth, NJ 07208
Phone (908) 428-8001

701 S Orange Ave
Newark, NJ 07106
Phone (800) 734-7083

110 William St
Newark, NJ 07102
Phone (973) 424-4271

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

394 University Ave
Newark, NJ 07102
Phone (800) 734-7083

214 State Route 36
West Long Branch, NJ 07764
Phone (732) 222-8000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA
  • Direct secure messaging: juliet.uwah.p1@direct.memhc.nextgenshare.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612742400000",
    "number": "1023600384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043151",
            "telephone_number": "973-873-3126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071043151",
            "telephone_number": "973-873-3126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UWAH",
        "first_name": "JULIET",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-02-08",
        "certification_date": "2021-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "29NJ01107000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "primary care",
            "address_1": "685 Mount Prospect Ave",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071043151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "primary care",
            "address_1": "685 Mount Prospect Ave",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071043151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "primary care",
            "address_1": "685 Mount Prospect Ave",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071043151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.