Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mini Oommen, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1508536590

Mini Oommen, CPNP-PC is a Pediatric Nurse Practitioner in Livingston, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2021

Practice location Address checks out

94 Old Short Hills Rd
Livingston, NJ 07039-5672
Phone: (973) 322-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 26NJ01179700 (NJ)

Record details

NPI number1508536590
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorYes
NPI enumeratedSeptember 20, 2021
Last updated in NPPESSeptember 20, 2021
Certification dateAugust 11, 2021
Mailing address94 Old Short Hills Rd, Livingston, NJ 07039-5672

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