| Omezie A Molokwu, | |
|
1602 Pinehurst Est, Lakehurst, NJ 08733-2414 | |
| (848) 459-0525 | |
| Not Available |
| Full Name | Omezie A Molokwu |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 1602 Pinehurst Est, Lakehurst, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093322935 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 26NJ01058700 (New Jersey) | Primary |
| Entity Name | Faspsych Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1831682111 PECOS PAC ID: 2860818929 Enrollment ID: O20201112003276 |
| Entity Name | Grace Behavioral Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437766375 PECOS PAC ID: 9931513223 Enrollment ID: O20210127003101 |
| Mailing Address | Practice Location Address |
|---|---|
| Omezie A Molokwu, 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 Ph: (848) 459-0525 | Omezie A Molokwu, 1602 Pinehurst Est, Lakehurst, NJ 08733-2414 Ph: (848) 459-0525 |
Mrs. Susan Jeanne Mason, APRN,BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Lakehurst Naval Health Clinic, Naes Lansdowne Rd, Lakehurst, NJ 08733 Phone: 732-323-1490 Fax: 732-323-2632 | |
Mrs. Kimberly Ann Hitchens, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 800 Route 70, Lakehurst, NJ 08733 Phone: 732-716-4600 Fax: 732-716-4751 |