Latasha Nwajagu

Primary specialty

CounselorTaxonomy code 101Y00000X

License

44SL06750100 Issued in NJ

Practice address

385 Prospect Ave Ste 210
Hackensack, NJ 07601-2570

Phone

(551) 996-9175

NPI assigned

Jun 4, 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)

Enrolled

State licenses

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1295302792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 PROSPECT AVE STE 210",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012570",
            "telephone_number": "551-996-2204",
            "fax_number": "202-548-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 PROSPECT AVE STE 210",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012570",
            "telephone_number": "551-996-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 New Jersey Ave SE Ste 500",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200033326",
            "country_code": "US",
            "telephone_number": "202-715-7900",
            "fax_number": "202-548-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NWAJAGU",
        "first_name": "LATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL06750100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Ayirebi Ntiamoah
• Frailyn Josue Nunez Guzman, MD
• Helen F Nunez, FNP-BC
• Zarnigor Nurova, DNP, CRNA
• Chinenye Okezie Nwachuku, M.D.
• John T. Nycz, RPH.
• Evan O'Brien, DPT
• Brianne Elizabeth O'Connor, DPT
• Lisa M O'Donnell, M.D.
• Tara Renee O'Donnell, PA-C

• Counselor in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.