MEDICARE: DR. CARLYSA OYAMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207V00000X	Obstetrics & Gynecology Physician	25MA13108900	NJ

General Provider Information

NPI Number	:	1831770445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CARLYSA OYAMA MD

Provider Business Mailing Address
First Line	:	158 14TH ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-4439
Country	:	US
Telephone Number	:	973-736-1100
Fax Number	:

Provider Business Practice Location Address
First Line	:	158 14TH ST
Second Line	:
City	:	HOBOKEN
State	:	NJ
Zip	:	07030-4439
Country	:	US
Telephone Number	:	973-736-1100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2021
Last Update Date	:	05/13/2026

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