Active NPIIndividual providerSole proprietor

Mr. Vincent Obode, SOLE PROPRIETOR

Registered Nurse, Home Health in East Orange, New Jersey

NPI Number1912519125
Practice location
134 Evergreen Pl Ste 604, East Orange, NJ 07018-2021
Fax
862-252-6836
Last updated
August 13, 2024

Vincent Obode is a Registered Nurse, Home Health based in East Orange, NJ. Vincent Obode practices in East Orange, NJ and has the professional credentials of SOLE PROPRIETOR. The NPI Number for Vincent Obode is 1912519125 and holds a License No. 26NO11868300 (NJ). The current practice location address for Vincent Obode is 134 Evergreen Pl Ste 604, East Orange, NJ 07018-2021 and can be reached out via phone at 862-520-2029 and via fax at 862-252-6836.

Provider Profile Details

NPI Number
1912519125
Provider Name
Vincent Obode
Credential
SOLE PROPRIETOR
Provider Entity Type
Individual
Gender
Male
Address
134 Evergreen Pl Ste 604, East Orange, NJ 07018-2021
Phone Number
862-520-2029
Fax Number
862-252-6836
Primary Taxonomy
Registered Nurse, Home Health · 163WH0200X
Sole Proprietor
Yes
Provider Enumeration Date
August 19, 2020
Last Update Date
August 13, 2024
Certification Date
August 13, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
134 Evergreen Pl Ste 604
East Orange, NJ 07018-2021
Zip
07018-2021
Phone Number
862-520-2029
Fax Number
862-252-6836
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
134 Evergreen Pl Ste 604
East Orange, NJ 07018-2021
City
East Orange
State
NJ
Zip
07018-2021
Phone Number
862-520-2029
Fax Number
862-252-6836

License Information

License Number
26NO11868300
License State
NJ
Taxonomy
Registered Nurse, Home Health · 163WH0200X · 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. Vincent Obode, SOLE PROPRIETOR?

The NPI number of Mr. Vincent Obode, SOLE PROPRIETOR is 1912519125. It was assigned on August 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Mr. Vincent Obode, SOLE PROPRIETOR?

Mr. Vincent Obode, SOLE PROPRIETOR is registered under the primary taxonomy Registered Nurse, Home Health (code 163WH0200X), licensed in NJ under license number 26NO11868300.

Where does Mr. Vincent Obode, SOLE PROPRIETOR practice?

The practice location is 134 Evergreen Pl Ste 604, East Orange, NJ 07018-2021. The office can be reached at 862-520-2029 (phone) or 862-252-6836 (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 1912519125 directly on the NPPES registry website.

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