Eduardo Jamisola Padilla Jr., RN

Primary specialty

Ambulatory Care Registered NurseTaxonomy code 163WP2201X

License

26NR11537000 Issued in NJ

Practice address

515 Mount Prospect Ave Apt 17B
Newark, NJ 07104-2951

Phone

(201) 724-5582

NPI assigned

Jan 3, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1672704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1053024208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 MOUNT PROSPECT AVE APT 17B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 MOUNT PROSPECT AVE APT 17B",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042951",
            "telephone_number": "201-724-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "EDUARDO",
        "middle_name": "JAMISOLA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-03",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NJ",
            "license": "26NR11537000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Thomas Padberg Jr., M D
• Jamilla Paden, LSW
• Pooja Padgaonkar
• Dipti V Padhiar, NP-C
• Alexander Padilla Jr., CSW
• Fermin Alejandro Padron, PHARMD
• Pads 4 a Purpose Inc.
• Gilberto Pagan, PH.D.
• Demi La-Nay Page, DDS
• Amy Elizabeth Bok Soon Paige, DO

• Ambulatory Care Registered Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Ambulatory Care Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.