Clara Waya Memba

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01183200 Issued in NJ

Practice address

32 Alyson PL
Bloomfield, NJ 07003-5504

Phone

(862) 215-8313

NPI assigned

Dec 8, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1638921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1184382004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 ALYSON PL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035504",
            "telephone_number": "862-215-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 ALYSON PL",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035504",
            "telephone_number": "862-215-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEMBA",
        "first_name": "CLARA",
        "middle_name": "WAYA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-08",
        "last_updated": "2021-12-08",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01183200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Enid Medina-Tiencken, MS, CCC-SLP
• Brooks Kenneth Meek, LCSW
• Ruchi Mehta, M.D.
• Daniel E Melon, PT, DPT
• Alexis Melvin
• Jesus Alberto Mendoza Jr.
• Alexandra Mentaelopoulos, DMD
• Mera G Inc
• Kelly Ann Mercorella, PH.D.
• Dimitris Myles Meredith, LPC

• Family Nurse Practitioner in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.