| Ofmeme | |
|
76 Lowell Ave West Orange NJ 07052-3710 | |
| (865) 452-8987 | |
| Not Available |
| Full Name | Ofmeme |
|---|---|
| Speciality | Clinic/Center |
| Location | 76 Lowell Ave, West Orange, New Jersey |
| Authorized Official Name and Position | Ubong Udofia (APN) |
| Authorized Official Contact | 8624528987 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ofmeme 76 Lowell Ave West Orange NJ 07052-3710 Ph: (865) 452-8987 | Ofmeme 76 Lowell Ave West Orange NJ 07052-3710 Ph: (865) 452-8987 |
| NPI Number | 1871255588 |
|---|---|
| Provider Enumeration Date | 10/10/2021 |
| Last Update Date | 10/10/2021 |
| Certification Date | 10/10/2021 |
| Medicare PECOS PAC ID | 8426442971 |
|---|---|
| Medicare Enrollment ID | O20220225000835 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871255588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Ubong E Udofia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760745889 PECOS PAC ID: 5890058549 Enrollment ID: I20180411002518 |
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