Anastacia Nyamongo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

824393 Issued in NY

Practice address

416 Cator Ave # 2
Jersey City, NJ 07305-2003

Phone

(201) 705-2324

NPI assigned

Nov 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668384000000",
    "number": "1093423477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 CATOR AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052003",
            "telephone_number": "201-705-2324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 CATOR AVE # 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073052003",
            "telephone_number": "201-705-2324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYAMONGO",
        "first_name": "ANASTACIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2022-11-14",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "82439301",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "824393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nunya Health Group LLP
• Nur Counseling LLC
• Nurturie Health LLC
• Nutrition Custom Care
• Nutrition Custom Care LLC
• Justus Onwong'a Nyamwancha, APN
• Stephanie O'Brien
• Susan E. O'Brien, DO
• Joan Margaret O'Leary, APN
• Carolyn Ann O'Malley, RN

• Registered Nurse in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2022; 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.