Provider Demographics
NPI:1215816426
Name:YAGHI, MARTHA OLINDA (RN)
Entity type:Individual
Prefix:MRS
First Name:MARTHA
Middle Name:OLINDA
Last Name:YAGHI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MARTHA
Other - Middle Name:OLINDA
Other - Last Name:RUIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:26NO12433800
Mailing Address - Street 1:498 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ROCKAWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:07866-3730
Mailing Address - Country:US
Mailing Address - Phone:973-219-4619
Mailing Address - Fax:
Practice Address - Street 1:97 WEST PKWY.
Practice Address - Street 2:
Practice Address - City:POMPTON PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07444
Practice Address - Country:US
Practice Address - Phone:973-831-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NO12433800163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health