Provider Demographics
NPI:1508507781
Name:OVIEDO, DANIELA (MD)
Entity type:Individual
Prefix:DR
First Name:DANIELA
Middle Name:
Last Name:OVIEDO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 DUNBAR AVE APT 3
Mailing Address - Street 2:
Mailing Address - City:LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07740-6441
Mailing Address - Country:US
Mailing Address - Phone:682-552-2822
Mailing Address - Fax:
Practice Address - Street 1:249 S MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BARNEGAT
Practice Address - State:NJ
Practice Address - Zip Code:08005-2369
Practice Address - Country:US
Practice Address - Phone:609-607-1010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-05
Last Update Date:2025-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA1257800208000000X
NJ25MA12578000208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics