Active NPI
Soon Ja Oh, APN
- Primary Care Nurse Practitioner
- Maywood, NJ
National Provider Identifier
1902183676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 26NJ00417700
- Practice address
- 130A W Pleasant Ave
Maywood, NJ 07607-1357 - Phone
- (201) 820-4477
- NPI assigned
- Nov 9, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | 26NO09947700 | NJ | |
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00417700 | NJ | |
| Primary Care Nurse Practitioner | 363LP2300X | 26NJ00417700 | NJ | Primary |
Addresses
Primary practice location
130A W Pleasant Ave
Maywood, NJ 07607-1357
Mailing address
42 Lakewood Terrace
Bloomfield, NJ 07003
Phone (973) 680-8733
Other names 1
- Mrs. Maria Oh
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NO09947700 | NJ | MD | Oncology Registered Nurse |
| 26NJ00417700 | NJ | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patient Immediate Care PC | Past | Accepting new patients | |
| Hackensack University Medical Cener | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Oncology Clinic/Center
- Bloomfield, NJ
- NPI 1427333475
-
- Family Medicine Physician
- Mahwah, NJ
- NPI 1437489200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1320796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409184000000",
"number": "1902183676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 LAKEWOOD TERRACE",
"city": "BLOOMFIELD",
"state": "NJ",
"postal_code": "07003",
"telephone_number": "973-680-8733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130A W PLEASANT AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071357",
"telephone_number": "201-820-4477"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OH",
"first_name": "SOON JA",
"name_prefix": "Mrs.",
"credential": "APN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-09",
"last_updated": "2014-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "NJ",
"license": "26NO09947700",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NJ",
"license": "26NJ00417700",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NJ",
"license": "26NJ00417700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "OH",
"prefix": "MRS.",
"credential": "APN",
"code": "5",
"type": "Other Name"
}
]
}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 Aug 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.