Daccu Bamidele Sonubiishaq, - Licensed Practical Nurse in Newark, NJ

Daccu Bamidele Sonubiishaq, is a Licensed Practical Nurse based in Newark, New Jersey. Daccu Bamidele Sonubiishaq is licensed to practice in Tennessee (license number 97121) and her current practice location is 320 S 11th St Apt 2r, Newark, New Jersey. She can be reached at her office (for appointments etc.) via phone at (917) 495-9783.

NPI number for Daccu Bamidele Sonubiishaq is 1255055356 and her current mailing address is 208 Bloomfield Ave Apt 306, Bloomfield, New Jersey. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255055356.

Contact Information

Daccu Bamidele Sonubiishaq,
320 S 11th St Apt 2r,
Newark, NJ 07103-1948
(917) 495-9783
Not Available



Provider's Profile

Full NameDaccu Bamidele Sonubiishaq
GenderFemale
SpecialityLicensed Practical Nurse
Location320 S 11th St Apt 2r, Newark, New Jersey
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1255055356
  • Provider Enumeration Date: 10/03/2022
  • Last Update Date: 10/03/2022

Medical Identifiers

Medical identifiers for Daccu Bamidele Sonubiishaq such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255055356NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 97121 (Tennessee)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Daccu Bamidele Sonubiishaq is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Daccu Bamidele Sonubiishaq,
208 Bloomfield Ave Apt 306,
Bloomfield, NJ 07003-5796

Ph: (309) 966-5184
Daccu Bamidele Sonubiishaq,
320 S 11th St Apt 2r,
Newark, NJ 07103-1948

Ph: (917) 495-9783

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› Verified 6 days ago


Licensed Practical Nurse Nurses in Newark, NJ

Makeda Burr,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 183 S Orange Ave, Newark, NJ 07103
Phone: 800-969-5300    
Deuh Brigitte Dago, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 25 Clifton Ave, Newark, NJ 07104
Phone: 973-482-2113    
Kenya Williams,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 183 S Orange Ave, Newark, NJ 07103
Phone: 800-969-5300    
Kimberly Robbins,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 160 Lehigh Ave, Newark, NJ 07112
Phone: 973-557-6678    
Valerie Stone-johnson,
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 1 Noll Pl, Newark, NJ 07106
Phone: 718-828-2666    
Isabel Tavares, LPN
Licensed Practical Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 90 Bergen St., Suite 8100, Newark, NJ 07103
Phone: 973-972-0977    Fax: 973-972-5541

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