PAMELA ANDERSON
NPI 1013600162
Registered Nurse - General Practice in Newark, NJ

Active since June 02, 2023
354 DOREMUS AVE, NEWARK, NJ 07105(973) 274-6816 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Pamela Anderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PAMELA ANDERSON (NPI 1013600162) is an individual general practice provider in Newark, New Jersey, licensed in New Jersey (26NN08240300) and active in the NPI registry since June 2023. She maintains a secondary practice location in South Orange.

NPPES Registry Identity

NPI1013600162
Entity TypeIndividualFemale
Primary Taxonomy163WG0000X
Provider Legal NamePAMELA ANDERSON
Location Address354 DOREMUS AVENewark, NJ 07105-4882
Mailing Address354 Doremus AveNewark, NJ 07105-4882 · (973) 274-6816
Sole ProprietorNo
Enumeration DateJune 2, 2023
NPPES CertifiedMay 5, 2023
NPI 1013600162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRegistered Nurse · General PracticeNursing Service Providers
Taxonomy Code163WG0000X
License Licensed in NJ · 26NN08240300
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 26NN08240300 (NJ)
354 DOREMUS AVE, Newark, NJ 07105

Secondary Practice Location 1

Location 1564 Varsity RdSouth Orange, NJ 07079-2631 · Phone (609) 292-4036 ext. 5206 · Fax (609) 341-3399

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
354 DOREMUS AVE
NEWARK, NJ 07105
Nurse Practitioner (Adult Health)
354 DOREMUS AVE
NEWARK, NJ 07105
Physician Assistant (Medical)
354 DOREMUS AVE
NEWARK, NJ 07105

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pamela Anderson's NPI number?

The NPI number for Pamela Anderson is 1013600162. It was assigned to this individual provider in the NPPES registry on June 2, 2023.

Where is Pamela Anderson located?

Pamela Anderson practices at 354 Doremus Ave, Newark, NJ 07105. The listed phone number is (973) 274-6816.

What is Pamela Anderson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in General Practice, with taxonomy code 163WG0000X.

When was this NPI record last updated?

The NPPES record for Pamela Anderson was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.