Healthcare Provider Details

I. General information

NPI: 1033973573
Provider Name (Legal Business Name): OMARU SESAY
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2024
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

834 MARC DR
NORTH BRUNSWICK NJ
08902-5109
US

IV. Provider business mailing address

834 MARC DR
NORTH BRUNSWICK NJ
08902-5109
US

V. Phone/Fax

Practice location:
  • Phone: 609-255-9701
  • Fax:
Mailing address:
  • Phone: 609-255-9701
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNJ
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: