One Stop Wellness MD LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ONE STOP WELLNESS MD LLC

Practice address

320 Christiana Medical Ctr
Newark, DE 19702-1653

Phone

(386) 703-9084

NPI assigned

Jul 31, 2023

Last updated

Jul 31, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tirstar MBC

Title

Credentialing

Phone

(386) 703-9084

Specialties & licenses 1

Addresses

Tax ID family

One Stop Wellness MD LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• One Stop Wellness MD LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1467141622
  NPD tax ID

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.

• Aisha Ayanna Addison

  • Psychiatric/Mental Health Nurse Practitioner
  • Philadelphia, PA
  • NPI 1831497601
  NPD

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

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1679254668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E GARWOOD AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080941601",
            "telephone_number": "386-703-9084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 CHRISTIANA MEDICAL CTR",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197021653",
            "telephone_number": "386-703-9084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP WELLNESS MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "MBC",
        "authorized_official_first_name": "TIRSTAR",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "386-703-9084"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• John H Oneill Jr., DO
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• Psychiatric/Mental Health Nurse Practitioner in Newark, DE
• Providers in Newark, DE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; 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.