NOVA HEALTHCARE SERVICES LLC NPI 1457156796

NPI Information

  • NPI: 1457156796
  • Provider Name: NOVA HEALTHCARE SERVICES LLC
  • Classification: Clinic/Center - 261QP2300X
  • Specialization: Primary Care
  • Entity Type: Organization
  • Address: 328 BROADWAY STE 202
    LYNN, MA
    ZIP 01904
  • Phone: (781) 513-2780

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NPI Details

NOVA HEALTHCARE SERVICES LLC is a primary care clinic center in Lynn, MA. NOVA HEALTHCARE SERVICES LLC NPI is 1457156796. The provider is registered as an organization entity type.

The provider's business location address is:

328 BROADWAY STE 202
LYNN, MA
ZIP 01904-654
Phone: (781) 513-2780

The provider's authorized official is Victor Okwukaogu .
The authorized official title is Nurse Practittioner and has the following contact phone number (781) 513-2780.

The enumeration date for this NPI number is 2/18/2025 and was last updated on 2/18/2025.

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
1251S00000XCommunity/Behavioral HealthNo
2261QC1500XClinic/CenterCommunity HealthNo
3261QP2300XClinic/CenterPrimary CareYes
4363LP2300XNurse PractitionerPrimary CareNo

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

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