Angela Addo
Individual provider Active NPI Registered Nurse · Newark, NJ
NPI 1164073771 · NPPES record last updated Sep 25, 2019
Key facts
- NPI
- 1164073771
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 769705 (NY)
- Practice address
- 680 Hunterdon St
Newark, NJ 07108-1806 - Phone
- (973) 489-0287
- NPI assigned
- Sep 25, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 769705 | NY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 769705 | NY | Yes |
Addresses
Primary practice location
680 Hunterdon St
Newark, NJ 07108-1806
Mailing address
680 Hunterdon St
Newark, NJ 07108-1806
Phone (973) 489-0287
Other providers in Newark, NJ
- Rakiyah Adamu-Sambare
- Evelyn Adantor
- Adejimi Adaralegbe
- Edward Addison
- Adutwumwaa Addo
- Barbara Adedeji
- Mary Oluwayemisi Adedeji
- Olufunlola T Adefalu
- Olalekan Kehinde Adefowokan
- Mayowa Adekunle Adekanla
All providers in Newark, 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 Sep 25, 2019. 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.