PREETHI IDICULLA NP NPI 1164957494

NPI Information

  • NPI: 1164957494
  • Provider Name: PREETHI IDICULLA, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 968 WENDY CT
    UNION, NJ
    ZIP 07083
  • Phone: (917) 858-0953

Map and Directions

Get Directions

NPI Details

Preethi Idiculla, NP is a family nurse practitioner in Union, NJ. Preethi Idiculla, NP NPI is 1164957494. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

968 WENDY CT
UNION, NJ
ZIP 07083-637
Phone: (917) 858-0953

The enumeration date for this NPI number is 4/24/2017 and was last updated on 9/3/2024.

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
1163WR0006XRegistered NurseRegistered Nurse First Assistant26NR1204800NEW JERSEYNo
2363LF0000XNurse PractitionerFamily26NJ01318900NEW JERSEYYes

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: 11/21/2025

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.