Active NPI
Victoria Obelle
- School Registered Nurse
- Hackensack, NJ
National Provider Identifier
1275872806
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 477905-1
- Practice address
- 444West Lookout Ave
Hackensack, NJ 07601 - Phone
- (210) 646-0559
- Fax
- (201) 646-0559
- NPI assigned
- Feb 1, 2013
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 477905-1 | NY | Primary |
Addresses
Primary practice location
444West Lookout Ave
Hackensack, NJ 07601
Mailing address
444 W Lookout Ave
Hackensack, NJ 07601-1515
Phone (201) 562-5905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 477905-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1275872806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "444 W LOOKOUT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "076011515",
"telephone_number": "201-562-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444WEST LOOKOUT AVE",
"city": "HACKENSACK",
"state": "NJ",
"postal_code": "07601",
"telephone_number": "210-646-0559",
"fax_number": "201-646-0559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBELLE",
"first_name": "VICTORIA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "477905-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hackensack, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.