Organization Active NPI

Divine Care Health Staffing LLC

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Paramus, NJ
National Provider Identifier
1447633219
Registry record updated Mar 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
License
641056 Issued in NJ
Legal business name
DIVINE CARE HEALTH STAFFING LLC
Practice address
288 Oradell Ave
Paramus, NJ 07652-4825
Phone
(201) 952-6420
NPI assigned
Jun 29, 2015
Last updated
Mar 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2022

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

Authorized official

Name
Osahon AgueborNPI 1992398531
Title
Owner
Phone
(201) 952-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X 641056 NJ Primary

Addresses

Primary practice location

288 Oradell Ave
Paramus, NJ 07652-4825

Mailing address

3412 Bluestone LN
East Stroudsburg, PA 18301-8116

Other practice location 1

170 Bergen Ave Ste B
New Milford, NJ 07646-2806
Phone (201) 952-6420

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648252800000",
    "number": "1447633219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3412 BLUESTONE LN",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 ORADELL AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076524825",
            "telephone_number": "201-952-6420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "170 Bergen Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "New Milford",
            "state": "NJ",
            "postal_code": "076462806",
            "country_code": "US",
            "telephone_number": "201-952-6420",
            "fax_number": "877-847-4997",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIVINE CARE HEALTH STAFFING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-29",
        "last_updated": "2022-03-26",
        "certification_date": "2022-03-26",
        "status": "A",
        "authorized_official_last_name": "AGUEBOR",
        "authorized_official_first_name": "OSAHON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-952-6420"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "NJ",
            "license": "641056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2022; 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.