Active NPI
Joseph Omwata
- Medical-Surgical Registered Nurse
- Brockton, MA
National Provider Identifier
1033033758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical-Surgical Registered Nurse
- License
- RN2381365
- Practice address
- 26 Madrid SQ Apt 11
Brockton, MA 02301-1205 - Phone
- (857) 615-0410
- NPI assigned
- Aug 5, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | RN2381365 | MA | Primary |
Addresses
Primary practice location
26 Madrid SQ Apt 11
Brockton, MA 02301-1205
Mailing address
26 Madrid SQ Apt 11
Brockton, MA 02301-1205
Phone (857) 615-0410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1785888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1033033758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 MADRID SQ APT 11",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011205",
"telephone_number": "857-615-0410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 MADRID SQ APT 11",
"city": "BROCKTON",
"state": "MA",
"postal_code": "023011205",
"telephone_number": "857-615-0410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMWATA",
"first_name": "JOSEPH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-05",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "163WM0705X",
"taxonomy_group": "",
"desc": "Registered Nurse, Medical-Surgical",
"state": "MA",
"license": "RN2381365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brockton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.