Organization Active NPI

South Jersey Nurse Practitioners Services

  • Adult Health Nurse Practitioner
  • Blackwood, NJ
National Provider Identifier
1184964868
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00379200 Issued in NJ
Legal business name
SOUTH JERSEY NURSE PRACTITIONERS SERVICES
Practice address
100 N Black Horse Pike
Suite C
Blackwood, NJ 08012-3042
Phone
(856) 228-1989
Fax
(856) 228-1934
NPI assigned
Feb 18, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Hajah Onuoha, APN-BC
Title
Owner
Phone
(856) 228-1989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ00379200 NJ Primary

Addresses

Primary practice location

100 N Black Horse Pike
Suite C
Blackwood, NJ 08012-3042

Mailing address

100 N Black Horse Pike
Suite C
Blackwood, NJ 08012-3042
Phone (856) 228-1989

National Provider Directory

National Provider Directory

Locations

100 N Black Horse Pike
Ste C
Blackwood, NJ 08012
Phone (856) 228-1989

NPI Registry JSON

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1184964868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N BLACK HORSE PIKE",
            "address_2": "SUITE C",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123042",
            "telephone_number": "856-228-1989",
            "fax_number": "856-228-1934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N BLACK HORSE PIKE",
            "address_2": "SUITE C",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080123042",
            "telephone_number": "856-228-1989",
            "fax_number": "856-228-1934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH JERSEY NURSE PRACTITIONERS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "ONUOHA",
        "authorized_official_first_name": "HAJAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-228-1989",
        "authorized_official_credential": "APN-BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00379200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; 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.