Active NPIOrganization

Vivanchi Radiant Health LLC

Nurse Practitioner, Psych/Mental Health in Maplewood, New Jersey

NPI Number1265251938
Practice location
1733 Springfield Ave, Maplewood, NJ 07040-2963
Fax
732-873-2733
Last updated
November 18, 2024

Vivanchi Radiant Health LLC is a healthcare organization based in Maplewood, NJ. Vivanchi Radiant Health LLC practices in Maplewood, NJ. The NPI Number for Vivanchi Radiant Health LLC is 1265251938. The current practice location address for Vivanchi Radiant Health LLC is 1733 Springfield Ave, Maplewood, NJ 07040-2963 and can be reached out via phone at 732-474-6655 and via fax at 732-873-2733.

Provider Profile Details

NPI Number
1265251938
Provider Name
Vivanchi Radiant Health LLC
Provider Entity Type
Organization
Address
1733 Springfield Ave, Maplewood, NJ 07040-2963
Phone Number
732-474-6655
Fax Number
732-873-2733
Primary Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X
Organization Subpart
No
Authorized Official
Vivian Nwankwo · Owner/ Apn · 732-474-6655
Provider Enumeration Date
October 9, 2024
Last Update Date
November 18, 2024
Certification Date
November 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
1733 Springfield Ave
Maplewood, NJ 07040-2963
Zip
07040-2963
Phone Number
732-474-6655
Fax Number
732-873-2733
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
9 Rieder CT
Somerset, NJ 08873-2816
City
Somerset
State
NJ
Zip
08873-2816
Phone Number
732-474-6655
Fax Number
732-873-2733

License Information

Taxonomy
Nurse Practitioner, Psych/Mental Health · 363LP0808X · 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 Vivanchi Radiant Health LLC?

The NPI number of Vivanchi Radiant Health LLC is 1265251938. It was assigned on October 9, 2024 and is currently active in the NPPES registry.

What is the specialty of Vivanchi Radiant Health LLC?

Vivanchi Radiant Health LLC is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).

Where does Vivanchi Radiant Health LLC practice?

The practice location is 1733 Springfield Ave, Maplewood, NJ 07040-2963. The office can be reached at 732-474-6655 (phone) or 732-873-2733 (fax).

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 1265251938 directly on the NPPES registry website.

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