Individual provider · Type 1 NPI
Gerald Obaigwa Ombasa, FNP-BC
Family Nurse Practitioner · East Orange, NJ
NPI number
1861237679
Active
Practice location
300 Central Ave
East Orange, NJ 07018-2819
Mailing address
5549 Bridle Rd
Stroudsburg, PA 18360-9197
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | SP036549 (PA) |
| Family Nurse Practitioner Primary | 363LF0000X | SP029789 (PA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1861237679
Gerald Obaigwa Ombasa, FNP-BC's National Provider Identifier is 1861237679, issued on Jun 25, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in East Orange, NJ. The record was last updated on Sep 13, 2026.