Dula F Pacquiao, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NO06555400 Issued in NJ

Practice address

65 Bergen St
Newark, NJ 07107-3001

Phone

(973) 972-8536

Fax

(973) 972-3225

NPI assigned

Feb 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780728972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 TINGLEY LN",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088201479",
            "telephone_number": "973-972-8536",
            "fax_number": "973-972-3225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 BERGEN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071073001",
            "telephone_number": "973-972-8536",
            "fax_number": "973-972-3225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACQUIAO",
        "first_name": "DULA",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NO06555400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN LICENSE",
            "identifier": "26NO06555400",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Makuochukwu Maryann Ozoude, M.D.
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• Magdalena Pacanska, AGPCNP-C
• Charles Pace
• Ricardo Pacheco, PT
• Frank Thomas Padberg Jr., M D
• Jamilla Paden, LSW
• Pooja Padgaonkar
• Dipti V Padhiar, NP-C
• Alexander Padilla Jr., CSW

• Registered Nurse in Newark, NJ
• Providers in Newark, NJ by specialty
• Registered Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.