Eunice O Bamgbade
Individual provider Active NPI Registered Nurse · Clifton, NJ
NPI 1053842260 · NPPES record last updated Mar 21, 2017
Key facts
- NPI
- 1053842260
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 26NR11500400 (NJ)
- Practice address
- 404 Clifton Ave
Clifton, NJ 07011-2614 - Phone
- (856) 426-9520
- NPI assigned
- Mar 21, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NR11500400 | NJ | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zion Home Health Care Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 26NR11500400 | NJ | Yes |
Addresses
Primary practice location
404 Clifton Ave
Clifton, NJ 07011-2614
Mailing address
404 Clifton Ave
Clifton, NJ 07011-2614
Phone (856) 426-9520
Other providers in Clifton, NJ
- Ralph P Baines
- Phylicia Baird
- Josephine Bajer
- Sadana Balachandar
- Henry H Balzani
- Leah Samantha Banks
- Amanuela Barayeva
- Isabel Barbieri
- Gabriella Marie Barcelona
- Barbara Fern Barow
All providers in Clifton, NJ · Registered Nurse in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 21, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.