Individual provider Active NPI

Dorathy Offiah, APN

  • Primary Care Nurse Practitioner
  • Linden, NJ
National Provider Identifier
1861032740
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
26NJ00966500 Issued in NJ
Practice address
540 S Wood Ave
Linden, NJ 07036-3232
Phone
(908) 862-2893
Fax
(908) 862-5810
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 26NJ00966500 NJ
Family Nurse Practitioner 363LF0000X 26NJ00966500 NJ
Primary Care Nurse Practitioner 363LP2300X 26NJ00966500 NJ Primary

Addresses

Primary practice location

540 S Wood Ave
Linden, NJ 07036-3232

Mailing address

465 Mount Prospect Ave
Newark, NJ 07104-2907
Phone (973) 483-3640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924000042 NJ Practitioner - Nurse Practitioner 8921427006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Azz Medical Associates PCGroup PAC ID 6002132685, 63 clinicians

Practice addresses (Care Compare)

465 Mount Prospect Ave
Newark, NJ 07104-2907
Phone (609) 890-1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
26NJ00966500NJMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Azz Medical Associates PC CurrentSince Jan 2, 2025 Accepting new patients
Act on Total Health Medical Group, LLC Nurse Practitioner CurrentSince Oct 25, 2021 Accepting new patients

Locations

1440 Pennington Rd
Ste 1
Ewing, NJ 08618
Phone (609) 422-7928

2354 US Highway 9
Howell, NJ 07731
Phone (732) 905-5255

465 Mount Prospect Ave
#2
Newark, NJ 07104

465 Mount Prospect Ave
Newark, NJ 07104
Phone (973) 483-3640

400 W Black Horse Pike
Ste 2
Pleasantville, NJ 08232
Phone (609) 641-1118

8025 Black Horse Pike
Ste 501
Pleasantville, NJ 08232
Phone (609) 464-1135

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1861032740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 MOUNT PROSPECT AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071042907",
            "telephone_number": "973-483-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 S WOOD AVE",
            "city": "LINDEN",
            "state": "NJ",
            "postal_code": "070363232",
            "telephone_number": "908-862-2893",
            "fax_number": "908-862-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OFFIAH",
        "first_name": "DORATHY",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NJ",
            "license": "26NJ00966500",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00966500",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NJ",
            "license": "26NJ00966500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linden, NJ

Sources for this page

Verify at the official NPI Registry.