Provider Demographics
NPI:1992122360
Name:OCHOA, ANNIKA K (RN)
Entity type:Individual
Prefix:MS
First Name:ANNIKA
Middle Name:K
Last Name:OCHOA
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:275 PROSPECT ST APT 16F
Mailing Address - Street 2:
Mailing Address - City:EAST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07017-2882
Mailing Address - Country:US
Mailing Address - Phone:347-776-7656
Mailing Address - Fax:
Practice Address - Street 1:74 BROAD ST
Practice Address - Street 2:BASEMENT
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07104-3938
Practice Address - Country:US
Practice Address - Phone:347-776-7656
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-24
Last Update Date:2019-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7534621163W00000X
NY317234-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No164W00000XNursing Service ProvidersLicensed Practical Nurse