ODETTE NSINGA MATHOS APN
NPI 1700612983
Nurse Practitioner - Family in Newark, NJ
Active since September 12, 2024
About Odette Nsinga Mathos Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ODETTE NSINGA MATHOS APN (NPI 1700612983) is an individual family provider in Newark, New Jersey, licensed in New Jersey (26NJ15125900) and active in the NPI registry since September 2024.
NPPES Registry Identity
NPI1700612983
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameODETTE NSINGA MATHOSCredential: APN
Location Address16 LYONS AVENewark, NJ 07112-2438
Mailing Address16 Lyons AveNewark, NJ 07112-2438 · (862) 576-0952
Phone(862) 576-0952
Sole ProprietorNo
Enumeration DateSeptember 12, 2024
NPPES CertifiedAugust 29, 2024
✔ NPI 1700612983 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ15125900
16 LYONS AVE, Newark, NJ 07112
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1700612983, enumerated as an "individual" on September 12, 2024.
The provider is located at 16 LYONS AVE NEWARK, NJ 07112 and the phone number is (862) 576-0952.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
