Provider Demographics
NPI:1871519728
Name:HIBBERT-OZUZU, KAREN A (APRN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:HIBBERT-OZUZU
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOPPER ST
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07436-3206
Mailing Address - Country:US
Mailing Address - Phone:210-337-3065
Mailing Address - Fax:
Practice Address - Street 1:801 COOP CITY BLVD.
Practice Address - Street 2:BAY PARK NURSING & REHABILITATION
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10475
Practice Address - Country:US
Practice Address - Phone:718-239-6500
Practice Address - Fax:718-239-6400
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2012-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR09804200163W00000X
NJ26NJ00088900363LA2100X
NYF302835-1363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ1871519728OtherNPI