IMPACT MEDICAL LLC NPI 1336417476

NPI Information

NPI: 1336417476
Provider Name: IMPACT MEDICAL LLC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
244 AMAN AVE
CLEMENTON, NJ
ZIP 08021
Phone: (267) 474-1355
Get Directions

IMPACT MEDICAL LLC is an adult health nurse practitioner in Clementon, NJ. IMPACT MEDICAL LLC NPI is 1336417476. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

244 AMAN AVE
CLEMENTON, NJ
ZIP 08021-502
Phone: (267) 474-1355

The provider's authorized official is Ihuoma Ottih .
The authorized official title is Apn-c/ Owner and has the following contact phone number (267) 474-1355.

The enumeration date for this NPI number is 12/4/2011 and was last updated on 12/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	26NJ00349900	NEW JERSEY	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »