Active NPI 1699335653 Individual Practitioner Female Practitioner

Ethel Ezeohagba

Licensed Practical Nurse • Nutley, NJ

Professional Overview & Biography Verified Profile Summary

Ethel Ezeohagba is a registered healthcare professional specializing in Licensed Practical Nurse in Nutley, NJ. Practice services are available at 636 PASSAIC AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

636 Passaic Ave

Nutley, NJ 071101280

Telephone 7188282666

Associated Practice Facility / Clinic

🏢 White Glove Community Care, Inc. Facility NPI 1538371778

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Nutley, NJ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 13.0 Yrs

Regional Practice Density

1 Specialists

Practicing in Nutley, NJ (1119 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 334682

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Diana Reyes , RN

Registered Nurse - Home Health

NPI 1003282914

Registered Nurse

Parminder Kaur , RN

Registered Nurse

NPI 1003398785

Registered Nurse

Jessica Fonseca- Yancha , LPN

Licensed Practical Nurse

NPI 1003479973

Licensed Practical Nurse

Melissa Filpo

Specialist

NPI 1003506106

Sophia Campbell-Miller

Registered Nurse

NPI 1003581182

Ghazalah Qari

Specialist

NPI 1003591504

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active June 20, 2019

NPI status registered as active in NPPES database

📍

Updated Practice Location June 20, 2019

Registered at 636 PASSAIC AVE, NUTLEY, NJ 071101280 (Tel: 7188282666)

📍

Updated Business Mailing Address June 20, 2019

Registered at 636 PASSAIC AVE, NUTLEY, NJ 071101280

👤

Provider Name / Credentials Updated June 20, 2019

Recorded as ETHEL EZEOHAGBA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 20, 2019

Licensed Practical Nurse (License #334682 in NY)

🟢

Initial NPI Registration & Enumeration June 20, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699335653

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2019

Last Update: June 20, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

636 Passaic Ave

Nutley, NJ 071101280

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.