Active NPIIndividual providerSole proprietor

Mrs. Bernadette Nnoli, NP

Nurse Practitioner, Gerontology in Newark, New Jersey

NPI Number1104650381
Practice location
268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011
Fax
—
Last updated
August 29, 2024

Bernadette Nnoli is a Nurse Practitioner, Gerontology based in Newark, NJ. Bernadette Nnoli practices in Newark, NJ and has the professional credentials of NP. The NPI Number for Bernadette Nnoli is 1104650381 and holds a License No. 26NJ15121000 (NJ). The current practice location address for Bernadette Nnoli is 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011 and can be reached out via phone at 973-877-5543.

Provider Profile Details

NPI Number
1104650381
Provider Name
Bernadette Nnoli
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011
Phone Number
973-877-5543
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
August 29, 2024
Last Update Date
August 29, 2024
Certification Date
August 29, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
268 Dr Martin Luther King Jr Blvd
Newark, NJ 07102-2011
City
Newark
Zip
07102-2011
Phone Number
973-877-5543
Newark, NJ 07102Get directions →

Provider Business Mailing Address Details

Address
1788 Union Ave
Union, NJ 07083-5521
City
Union
State
NJ
Zip
07083-5521

License Information

License Number
26NJ15121000
License State
NJ
Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Bernadette Nnoli, NP?

The NPI number of Mrs. Bernadette Nnoli, NP is 1104650381. It was assigned on August 29, 2024 and is currently active in the NPPES registry.

What is the specialty of Mrs. Bernadette Nnoli, NP?

Mrs. Bernadette Nnoli, NP is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26NJ15121000.

Where does Mrs. Bernadette Nnoli, NP practice?

The practice location is 268 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2011. The office can be reached at 973-877-5543 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104650381 directly on the NPPES registry website.

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