Active NPIIndividual providerSole proprietor

Maryam Oshomah, FNP

Nurse Practitioner, Primary Care in Newington, Connecticut

NPI Number1073153680
Practice location
555 Willard Ave, Newington, CT 06111-2631
Fax
—
Last updated
August 28, 2026

Maryam Oshomah is a Nurse Practitioner, Primary Care based in Newington, CT. Maryam Oshomah practices in Newington, CT and has the professional credentials of FNP. The NPI Number for Maryam Oshomah is 1073153680 and holds a License No. 8658 (CT). The current practice location address for Maryam Oshomah is 555 Willard Ave, Newington, CT 06111-2631 and can be reached out via phone at 860-666-6951.

Provider Profile Details

NPI Number
1073153680
Provider Name
Maryam Oshomah
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
555 Willard Ave, Newington, CT 06111-2631
Phone Number
860-666-6951
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
Yes
Provider Enumeration Date
January 11, 2020
Last Update Date
August 28, 2026
Certification Date
August 28, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
555 Willard Ave
Newington, CT 06111-2631
Zip
06111-2631
Phone Number
860-666-6951
Newington, CT 06111Get directions →

Provider Business Mailing Address Details

Address
555 Willard Ave
Newington, CT 06111-2631
City
Newington
State
CT
Zip
06111-2631
Phone Number
860-666-6951

License Information

License Number
8658
License State
CT
Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Maryam Oshomah, FNP?

The NPI number of Maryam Oshomah, FNP is 1073153680. It was assigned on January 11, 2020 and is currently active in the NPPES registry.

What is the specialty of Maryam Oshomah, FNP?

Maryam Oshomah, FNP is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in CT under license number 8658.

Where does Maryam Oshomah, FNP practice?

The practice location is 555 Willard Ave, Newington, CT 06111-2631. The office can be reached at 860-666-6951 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073153680 directly on the NPPES registry website.

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