MR. HOMERO PANIAGUA APN NPI 1053700633

NPI Information

  • NPI: 1053700633
  • Provider Name: MR. HOMERO PANIAGUA, APN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1001 PLEASANT VALLEY WAY
    WEST ORANGE, NJ
    ZIP 07052
  • Phone: (973) 669-8448

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NPI Details

MR. Homero Paniagua, APN is a family nurse practitioner in West Orange, NJ with 11 years of experience. MR. Homero Paniagua, APN NPI is 1053700633. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1001 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 669-8448
Fax: (973) 669-9536

The NPI 1053700633 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/20/2015 and was last updated on 1/20/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily26NJ00548000NEW JERSEYYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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