Active NPIIndividual providerSole proprietor

Mr. Gerald O Ombasa, FNP-BC

Nurse Practitioner, Family in East Orange, New Jersey

NPI Number1861237679
Practice location
300 Central Ave, East Orange, NJ 07018-2819
Fax
—
Last updated
September 13, 2026

Gerald Obaigwa Ombasa is a Nurse Practitioner, Family based in East Orange, NJ. Gerald Obaigwa Ombasa practices in East Orange, NJ and has the professional credentials of FNP-BC. The NPI Number for Gerald Obaigwa Ombasa is 1861237679 and holds a License No. SP036549 (PA). The current practice location address for Gerald Obaigwa Ombasa is 300 Central Ave, East Orange, NJ 07018-2819 and can be reached out via phone at 201-892-6071.

Provider Profile Details

NPI Number
1861237679
Provider Name
Gerald Obaigwa Ombasa
Credential
FNP-BC
Provider Entity Type
Individual
Gender
Male
Address
300 Central Ave, East Orange, NJ 07018-2819
Phone Number
201-892-6071
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
June 25, 2024
Last Update Date
September 13, 2026
Certification Date
September 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
300 Central Ave
East Orange, NJ 07018-2819
Zip
07018-2819
Phone Number
201-892-6071
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
5549 Bridle RD
Stroudsburg, PA 18360-9197
City
Stroudsburg
State
PA
Zip
18360-9197
Phone Number
201-892-6071

License Information

License Number (1)
SP036549
License State (1)
PA
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
SP029789
License State (2)
PA
Taxonomy (2)
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 Mr. Gerald O Ombasa, FNP-BC?

The NPI number of Mr. Gerald O Ombasa, FNP-BC is 1861237679. It was assigned on June 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Mr. Gerald O Ombasa, FNP-BC?

Mr. Gerald O Ombasa, FNP-BC is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in PA under license number SP036549.

Where does Mr. Gerald O Ombasa, FNP-BC practice?

The practice location is 300 Central Ave, East Orange, NJ 07018-2819. The office can be reached at 201-892-6071 (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 1861237679 directly on the NPPES registry website.

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