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NWANKWO G MEDICAL SERVICES LLC NPI 1740549203


NPI Information

NPI: 1740549203
Provider Name: NWANKWO G MEDICAL SERVICES LLC

Doing Business As: NWANKWO G MEDICAL SERVICES

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
22 UNION AVE STE 105
IRVINGTON, NJ
ZIP 07111
Phone: (973) 416-1111
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NWANKWO G MEDICAL SERVICES LLC is an adult day care clinic center in Irvington, NJ. NWANKWO G MEDICAL SERVICES LLC NPI is 1740549203. The provider is registered as an organization entity type.
The provider Is Doing Business As Nwankwo G Medical Services.

The provider's business location address is:

22 UNION AVE STE 105
IRVINGTON, NJ
ZIP 07111-574
Phone: (973) 416-1111
Fax: (973) 416-4133

The provider's authorized official is Gloria O Nwankwo .
The authorized official title is Owner/physician and has the following contact phone number (973) 416-4111.

The enumeration date for this NPI number is 5/3/2012 and was last updated on 11/17/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
18638900MEDICAIDNEW JERSEY

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: 4/28/2024

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