Active NPI
Patience Assobmo, NP
- Women's Health Nurse Practitioner
- Newark, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 26NJ00867100
- Practice address
- 15 Shaw Avenue
Newark, NJ 07112 - Phone
- (347) 824-8984
- NPI assigned
- Nov 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 26NJ00867100 | NJ | Primary |
Addresses
Primary practice location
15 Shaw Avenue
Newark, NJ 07112
Mailing address
15 Shaw Avenue
Newark, NJ 07112
Phone (347) 824-8984
Other names 1
- Patience Marks
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3300 Main St
FL 4
Springfield, MA 01107-1112
Phone (413) 794-7045
Hospital & facility affiliations
- Baystate Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00867100 | NJ | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Women'S Health Associates of Western Ma Inc. | Current | Accepting new patients | |
| Baystate Medical Practices, Inc | Current | Accepting new patients | |
| Baystate Medical Center, Inc. | Past | Accepting new patients |
Locations
759 Chestnut St
Springfield, MA 01199
Phone (413) 794-3233
3300 Main St
Fl 4
Springfield, MA 01107
Phone (413) 794-5555
280 Chestnut St
Springfield, MA 01199
Phone (413) 794-3909
65 Springfield Rd
Ste 2
Westfield, MA 01085
Phone (413) 562-8306
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Springfield, MA
- NPI 1548205909
-
- Obstetrics & Gynecology Physician
- Westfield, MA
- NPI 1043215619
-
- Community/Retail Pharmacy
- Springfield, MA
- NPI 1881799427
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, MA
- NPI 1487655064
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725926400000",
"number": "1124595723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 SHAW AVENUE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "347-824-8984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 SHAW AVENUE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "07112",
"telephone_number": "347-824-8984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASSOBMO",
"first_name": "PATIENCE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-01",
"last_updated": "2024-09-10",
"certification_date": "2024-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NJ",
"license": "26NJ00867100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATIENCE",
"last_name": "MARKS",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.