MAXICARE HEALTHCARE SERVICES INC NPI 1508596222

NPI Information

  • NPI: 1508596222
  • Provider Name: MAXICARE HEALTHCARE SERVICES INC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 112 LEHIGH AVE
    NEWARK, NJ
    ZIP 07112
  • Phone: (073) 409-1406

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NPI Details

MAXICARE HEALTHCARE SERVICES INC is a psychiatric/mental health nurse practitioner in Newark, NJ. MAXICARE HEALTHCARE SERVICES INC NPI is 1508596222. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

112 LEHIGH AVE
NEWARK, NJ
ZIP 07112-036
Phone: (073) 409-1406

The provider's authorized official is Oluwatosin O Olunuga .
The authorized official title is Apn and has the following contact phone number (973) 409-1406.

The enumeration date for this NPI number is 6/15/2022 and was last updated on 6/15/2022.

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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

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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