Individual provider Active NPI

Taneisha Williams

  • Clinical Laboratory Director (Non-physician)
  • Bloomfield, NJ
National Provider Identifier
1477287456
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Laboratory Director (Non-physician)Taxonomy code 247ZC0005X
License
123456 Issued in NJ
Practice address
44 Dodd St
Bloomfield, NJ 07003-4640
Phone
(833) 456-9777
NPI assigned
Jul 14, 2022
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Laboratory Director (Non-physician) 247ZC0005X 123456 NJ Primary

Addresses

Primary practice location

44 Dodd St
Bloomfield, NJ 07003-4640

Mailing address

44 Dodd St
Bloomfield, NJ 07003-4640
Phone (908) 644-4453

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Neisha903@gmail.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
123456NJMDClinical Laboratory Director (Non-physician)

Practice roles

OrganizationSpecialtyStatusNew patients
Ontime Screening & Logistics LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1477287456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 DODD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034640",
            "telephone_number": "908-644-4453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 DODD ST",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070034640",
            "telephone_number": "833-456-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TANEISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247ZC0005X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Clinical Laboratory Director, Non-physician",
            "state": "NJ",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Neisha903@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Brick and Mortar",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Urina",
            "address_1": "163 N Park St",
            "city": "East Orange",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070171734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; 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.