Active NPIIndividual provider

Ms. Mercy Otieno, CPNP

Nurse Practitioner, Pediatrics in Newark, New Jersey

NPI Number1235533639
Practice location
741 Broadway, Newark, NJ 07104-4309
Fax
—
Last updated
April 26, 2015

Mercy Otieno is a Nurse Practitioner, Pediatrics based in Newark, NJ. Mercy Otieno practices in Newark, NJ and has the professional credentials of CPNP. The NPI Number for Mercy Otieno is 1235533639 and holds a License No. 26NJ00521400 (NJ). The current practice location address for Mercy Otieno is 741 Broadway, Newark, NJ 07104-4309 and can be reached out via phone at 973-483-1300.

Provider Profile Details

NPI Number
1235533639
Provider Name
Mercy Otieno
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
741 Broadway, Newark, NJ 07104-4309
Phone Number
973-483-1300
Primary Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X
Sole Proprietor
No
Provider Enumeration Date
October 14, 2014
Last Update Date
April 26, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
741 Broadway
Newark, NJ 07104-4309
City
Newark
Zip
07104-4309
Phone Number
973-483-1300
Newark, NJ 07104Get directions →

Provider Business Mailing Address Details

Address
741 Broadway
Newark, NJ 07104-4309
City
Newark
State
NJ
Zip
07104-4309
Phone Number
973-483-1300

License Information

License Number
26NJ00521400
License State
NJ
Taxonomy
Nurse Practitioner, Pediatrics · 363LP0200X · 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 Ms. Mercy Otieno, CPNP?

The NPI number of Ms. Mercy Otieno, CPNP is 1235533639. It was assigned on October 14, 2014 and is currently active in the NPPES registry.

What is the specialty of Ms. Mercy Otieno, CPNP?

Ms. Mercy Otieno, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in NJ under license number 26NJ00521400.

Where does Ms. Mercy Otieno, CPNP practice?

The practice location is 741 Broadway, Newark, NJ 07104-4309. The office can be reached at 973-483-1300 (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 1235533639 directly on the NPPES registry website.

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