Individual
RAHAB OGINGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1 CLARA MAASS DR, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
3998 FAIR RIDGE DR, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
0705700
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00278100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
069094YM0
MEDICARE (NOVITAS)
NJ
01
—
069094YU0M
MEDICARE (NOVITAS)
NJ
Enumeration date
01/28/2006
Last updated
12/22/2022
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