Active NPI
Divine Care Health Staffing LLC
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Paramus, NJ
National Provider Identifier
1447633219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- License
- 641056
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Osahon Aguebor
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Radiologic Technologist
- East Stroudsburg, PA
- NPI 1992398531
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.