Provider Demographics
NPI:1205245750
Name:VENIDA, OSCAR JR (RN)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:VENIDA
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 W 30TH ST FL 2F
Mailing Address - Street 2:
Mailing Address - City:BAYONNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07002-2802
Mailing Address - Country:US
Mailing Address - Phone:201-268-4178
Mailing Address - Fax:
Practice Address - Street 1:60 W 30TH ST FL 2F
Practice Address - Street 2:
Practice Address - City:BAYONNE
Practice Address - State:NJ
Practice Address - Zip Code:07002-2802
Practice Address - Country:US
Practice Address - Phone:201-268-4178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-08
Last Update Date:2014-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ6535691163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse