# YAKA JERSEY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841966090
- **Authorized official:** DINA OGINGO RN (DIRECTOR)
- **Authorized official phone:** (862) 224-2814

## Contact information

- **Practice address:** 42 WINGATE DR, LIVINGSTON, NJ 07039-3518
- **Practice address phone:** (862) 224-2814
- **Mailing address:** 42 WINGATE DR, LIVINGSTON, NJ 07039-3518
- **Mailing address phone:** (862) 224-2814

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2021
- **Last updated:** 08/18/2021