Active NPIIndividual provider

Mrs. Soon Ja Oh, APN

Nurse Practitioner, Primary Care in Maywood, New Jersey

NPI Number1902183676
Practice location
130A W Pleasant Ave, Maywood, NJ 07607-1357
Fax
—
Last updated
August 28, 2014

Soon Ja Oh is a Nurse Practitioner, Primary Care based in Maywood, NJ. Soon Ja Oh practices in Maywood, NJ and has the professional credentials of APN. The NPI Number for Soon Ja Oh is 1902183676 and holds a License No. 26NO09947700 (NJ). The current practice location address for Soon Ja Oh is 130A W Pleasant Ave, Maywood, NJ 07607-1357 and can be reached out via phone at 201-820-4477.

Provider Profile Details

NPI Number
1902183676
Provider Name
Soon Ja Oh
Credential
APN
Provider Entity Type
Individual
Gender
Female
Address
130A W Pleasant Ave, Maywood, NJ 07607-1357
Phone Number
201-820-4477
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Sole Proprietor
No
Other Names
Mrs. Maria Oh, APN (Other Name)
Provider Enumeration Date
November 9, 2011
Last Update Date
August 28, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
130A W Pleasant Ave
Maywood, NJ 07607-1357
Zip
07607-1357
Phone Number
201-820-4477
Maywood, NJ 07607Get directions →

Provider Business Mailing Address Details

Address
42 Lakewood Terrace
Bloomfield, NJ 07003
City
Bloomfield
State
NJ
Zip
07003
Phone Number
973-680-8733

License Information

License Number (1)
26NO09947700
License State (1)
NJ
Taxonomy (1)
Registered Nurse, Oncology · 163WX0200X
License Number (2)
26NJ00417700
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Adult Health · 363LA2200X
License Number (3)
26NJ00417700
License State (3)
NJ
Taxonomy (3)
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 Mrs. Soon Ja Oh, APN?

The NPI number of Mrs. Soon Ja Oh, APN is 1902183676. It was assigned on November 9, 2011 and is currently active in the NPPES registry.

What is the specialty of Mrs. Soon Ja Oh, APN?

Mrs. Soon Ja Oh, APN is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X), licensed in NJ under license number 26NO09947700.

Where does Mrs. Soon Ja Oh, APN practice?

The practice location is 130A W Pleasant Ave, Maywood, NJ 07607-1357. The office can be reached at 201-820-4477 (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 1902183676 directly on the NPPES registry website.

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