Peninah Muthue Mbaluka

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

26NR14204600 Issued in NJ

Practice address

602 Melanie CT
Williamstown, NJ 08094-3575

Phone

(609) 346-0026

Fax

(856) 243-5675

NPI assigned

Mar 9, 2023

Last updated

Mar 9, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678320000000",
    "number": "1952001778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "602 MELANIE CT",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943575",
            "telephone_number": "609-346-0026",
            "fax_number": "856-513-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "602 MELANIE CT",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080943575",
            "telephone_number": "609-346-0026",
            "fax_number": "856-243-5675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MBALUKA",
        "first_name": "PENINAH",
        "middle_name": "MUTHUE",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR14204600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Williamstown, NJ
• Providers in Williamstown, 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 Mar 9, 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.