Daccu B Sonubiishaq
Registered Nurse in East Orange, New Jersey
1255055356- Practice location
- 99 Lenox Ave Fl 1, East Orange, NJ 07018-3102
- Phone
- 309-966-5184
- Fax
- —
- Last updated
- August 13, 2025
Daccu Bamidele Sonubiishaq is a Registered Nurse based in East Orange, NJ. Daccu Bamidele Sonubiishaq practices in East Orange, NJ. The NPI Number for Daccu Bamidele Sonubiishaq is 1255055356 and holds a License No. 97121 (TN). The current practice location address for Daccu Bamidele Sonubiishaq is 99 Lenox Ave Fl 1, East Orange, NJ 07018-3102 and can be reached out via phone at 309-966-5184.
Provider Profile Details
- NPI Number
- 1255055356
- Provider Name
- Daccu Bamidele Sonubiishaq
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 99 Lenox Ave Fl 1, East Orange, NJ 07018-3102
- Phone Number
- 309-966-5184
- Primary Taxonomy
- Registered Nurse · 163W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- October 3, 2022
- Last Update Date
- August 13, 2025
- Certification Date
- August 13, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 99 Lenox Ave Fl 1
East Orange, NJ 07018-3102 - City
- East Orange
- State
- New Jersey
- Zip
- 07018-3102
- Phone Number
- 309-966-5184
Provider Business Mailing Address Details
- Address
- 99 Lenox Ave Fl 1
East Orange, NJ 07018-3102 - City
- East Orange
- State
- NJ
- Zip
- 07018-3102
- Phone Number
- 309-966-5184
License Information
- License Number (1)
- 97121
- License State (1)
- TN
- Taxonomy (1)
- Licensed Practical Nurse · 164W00000X
- Taxonomy (2)
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · 320900000X
- License Number (3)
- 953594-01
- License State (3)
- NY
- Taxonomy (3)
- Registered Nurse · 163W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Registered Nurses near East Orange, NJ
View all Registered Nurses in East Orange →Frequently Asked Questions
What is the NPI number of Daccu B Sonubiishaq?
The NPI number of Daccu B Sonubiishaq is 1255055356. It was assigned on October 3, 2022 and is currently active in the NPPES registry.
What is the specialty of Daccu B Sonubiishaq?
Daccu B Sonubiishaq is registered under the primary taxonomy Registered Nurse (code 163W00000X), licensed in TN under license number 97121.
Where does Daccu B Sonubiishaq practice?
The practice location is 99 Lenox Ave Fl 1, East Orange, NJ 07018-3102. The office can be reached at 309-966-5184 (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 1255055356 directly on the NPPES registry website.