Organization Active NPI

Nurse Practitioner Professional Services Inc

  • Adult Health Nurse Practitioner
  • Maywood, NJ
National Provider Identifier
1720344351
Registry record updated Apr 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
26NJ00088900 Issued in NJ
Legal business name
NURSE PRACTITIONER PROFESSIONAL SERVICES INC
Practice address
100 West Magnolia Avenue
Maywood Center for Health & Rehabilitation
Maywood, NJ 07607
Phone
(201) 373-8300
NPI assigned
Apr 9, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2012

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

Authorized official

Name
Karen A. Hibbert-Ozuzu, ANP,BC
Title
Ceo
Phone
(646) 239-1927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LA2200X 26NJ00088900 NJ Primary

Addresses

Primary practice location

100 West Magnolia Avenue
Maywood Center for Health & Rehabilitation
Maywood, NJ 07607

Mailing address

350 Ramapo Valley Rd
Suite # 18 -284
Oakland, NJ 07436-2702
Phone (646) 239-1927

National Provider Directory

National Provider Directory

Locations

350 Ramapo Valley Rd
Ste 18
Oakland, NJ 07436

NPI Registry JSON

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

{
    "created_epoch": "1333929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333929600000",
    "number": "1720344351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 RAMAPO VALLEY RD",
            "address_2": "SUITE # 18 -284",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074362702",
            "telephone_number": "646-239-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WEST MAGNOLIA AVENUE",
            "address_2": "MAYWOOD CENTER FOR HEALTH & REHABILITATION",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "07607",
            "telephone_number": "201-373-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSE PRACTITIONER PROFESSIONAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-09",
        "last_updated": "2012-04-09",
        "status": "A",
        "authorized_official_last_name": "HIBBERT-OZUZU",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-239-1927",
        "authorized_official_credential": "ANP,BC"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NJ",
            "license": "26NJ00088900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2012; 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.