Healthcare Provider Details

I. General information

NPI: 1942678628
Provider Name (Legal Business Name): CLAUDIA MICHELLE BRAUER ORNELAS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/11/2015
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

246 HAMBURG TPKE STE 207
WAYNE NJ
07470-2160
US

IV. Provider business mailing address

401 MATTHEW ST DEPT OF
MARIETTA OH
45750-1635
US

V. Phone/Fax

Practice location:
  • Phone: 973-653-3366
  • Fax: 973-653-3365
Mailing address:
  • Phone: 740-374-1400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number35.134140
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number25MA11767300
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: