Eloisa Oquendo
Individual provider Active NPI Home Health Aide · Gibbstown, NJ
NPI 1548867690 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1548867690
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 1118 Berkley Rd
Gibbstown, NJ 08027-1608 - Phone
- (856) 366-8869
- NPI assigned
- Oct 1, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0450545807 | NJ | MD | Home Health Agency |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 0450545807 | NJ | |
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
1118 Berkley Rd
Gibbstown, NJ 08027-1608
Mailing address
1118 Berkley Rd
Gibbstown, NJ 08027-1608
Phone (856) 366-8869
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20266580476 | Medicaid | NJ | |
| 0450545807 | Medicaid | NJ |
Other names
- Eloisa Oquendo
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | cshs.1118@gmail.com | Health Information Exchange (HIE) | |
| CONNECT URL | Medicaid | Direct |
Other providers in Gibbstown, NJ
- Greenwich Township Boe
- Rebecca Lynn Justice
- Stephanie Marucci
- Jennifer Mendez
- Patrick S Nam
- Christine M Presson
- Raymond Filipponi DPM PA
- Rite Aid of New Jersey Inc
- Rizzo Family Chiropractic Center, LLC
- Karen Lynn Rizzo
All providers in Gibbstown, NJ · Home Health Aide in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.