Active NPIIndividual providerSole proprietor

Aisosa Omere

Nurse Practitioner, Family in Boston, Massachusetts

NPI Number1770316861
Practice location
1290 Tremont St, Boston, MA 02120-3432
Fax
617-989-3054
Last updated
September 9, 2025

Aisosa Omere is a Nurse Practitioner, Family based in Boston, MA. Aisosa Omere practices in Boston, MA. The NPI Number for Aisosa Omere is 1770316861 and holds a License No. 354190 (NY). The current practice location address for Aisosa Omere is 1290 Tremont St, Boston, MA 02120-3432 and can be reached out via phone at 617-858-2432 and via fax at 617-989-3054.

Provider Profile Details

NPI Number
1770316861
Provider Name
Aisosa Omere
Provider Entity Type
Individual
Gender
Female
Address
1290 Tremont St, Boston, MA 02120-3432
Phone Number
617-858-2432
Fax Number
617-989-3054
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
August 23, 2024
Last Update Date
September 9, 2025
Certification Date
September 9, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
1290 Tremont St
Boston, MA 02120-3432
City
Boston
Zip
02120-3432
Phone Number
617-858-2432
Fax Number
617-989-3054
Boston, MA 02120Get directions →

Provider Business Mailing Address Details

Address
1290 Tremont St
Boston, MA 02120-3432
City
Boston
State
MA
Zip
02120-3432
Phone Number
617-858-2432
Fax Number
617-989-3054

License Information

License Number
354190
License State
NY
Taxonomy
Nurse Practitioner, Family · 363LF0000X · 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 Aisosa Omere?

The NPI number of Aisosa Omere is 1770316861. It was assigned on August 23, 2024 and is currently active in the NPPES registry.

What is the specialty of Aisosa Omere?

Aisosa Omere is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NY under license number 354190.

Where does Aisosa Omere practice?

The practice location is 1290 Tremont St, Boston, MA 02120-3432. The office can be reached at 617-858-2432 (phone) or 617-989-3054 (fax).

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 1770316861 directly on the NPPES registry website.

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