Eagle Health Services, LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

EAGLE HEALTH SERVICES, LLC

Practice address

18 Ferry St
Newark, NJ 07105-1436

Phone

(732) 255-2252

Fax

(848) 444-9801

NPI assigned

Apr 29, 2019

Organization subpart

No

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

Authorized official

Name

David O AlabiNPI 1942645544

Title

Owner

Phone

(973) 262-4936

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David O Alabi, NURSE PRACTITIONER

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1942645544
  Medicare reassignment Authorized official
• Zona Alabi, APN, RN

  • Psychiatric/Mental Health Nurse Practitioner
  • Newark, NJ
  • NPI 1710513817
  Medicare reassignment
• Feminia Castro Mac, MD

  • Pediatric Adolescent Medicine Physician
  • Newark, NJ
  • NPI 1942386966
  NPD (past)

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1063076685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FERRY ST STE 2",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051436",
            "telephone_number": "973-589-3566",
            "fax_number": "973-589-1707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 FERRY ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071051436",
            "telephone_number": "732-255-2252",
            "fax_number": "848-444-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "ALABI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-262-4936"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indira Gyaneshwari Dyal-Garib, CCC/SLP
• Shaunique Dyer
• Akiva Andrew Dym, M.D.
• Dynamic Physical Therapy and Sports Rehab at Newark
• Rebecca Eager, MD
• Jelinda Easo, D.O
• East Coast Radiation Oncology Associates Newark Beth Israel, PA
• Torian J Easterling, M.D, MPH
• Abrar Ebady, MD
• Jessica Ebegbulem, LAC

• Psychiatric/Mental Health Nurse Practitioner in Newark, NJ
• Providers in Newark, NJ by specialty
• Psychiatric/Mental Health Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.