Provider Demographics
NPI:1306712518
Name:MOMAH, OLAMIPOSI
Entity type:Individual
Prefix:MRS
First Name:OLAMIPOSI
Middle Name:
Last Name:MOMAH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08902-2213
Mailing Address - Country:US
Mailing Address - Phone:201-316-6344
Mailing Address - Fax:
Practice Address - Street 1:1225 DOUGLAS AVE
Practice Address - Street 2:
Practice Address - City:NORTH BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08902-2213
Practice Address - Country:US
Practice Address - Phone:201-316-6344
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-14
Last Update Date:2025-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR17503700163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical