Active NPIIndividual provider

Ivy Nnorom, NP

Nurse Practitioner, Family in Maplewood, New Jersey

NPI Number1447737077
Practice location
2040 Millburn Ave Ste 206, Maplewood, NJ 07040-3716
Fax
973-852-3992
Last updated
December 1, 2025

Ivy Nnorom is a Nurse Practitioner, Family based in Maplewood, NJ. Ivy Nnorom practices in Maplewood, NJ and has the professional credentials of NP. The NPI Number for Ivy Nnorom is 1447737077 and holds a License No. 26NJ00827300 (NJ). The current practice location address for Ivy Nnorom is 2040 Millburn Ave Ste 206, Maplewood, NJ 07040-3716 and can be reached out via phone at 973-996-2078 and via fax at 973-852-3992.

Provider Profile Details

NPI Number
1447737077
Provider Name
Ivy Nnorom
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2040 Millburn Ave Ste 206, Maplewood, NJ 07040-3716
Phone Number
973-996-2078
Fax Number
973-852-3992
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
July 26, 2018
Last Update Date
December 1, 2025
Certification Date
December 1, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
2040 Millburn Ave Ste 206
Maplewood, NJ 07040-3716
Zip
07040-3716
Phone Number
973-996-2078
Fax Number
973-852-3992
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
2040 Millburn Ave Ste 206
Maplewood, NJ 07040-3716
City
Maplewood
State
NJ
Zip
07040-3716
Phone Number
862-888-2001

License Information

License Number (1)
26NJ00827300
License State (1)
NJ
Taxonomy (1)
Nurse Practitioner, Psych/Mental Health · 363LP0808X
License Number (2)
26NJ00827300
License State (2)
NJ
Taxonomy (2)
Nurse Practitioner, Family · 363LF0000X · 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 Ivy Nnorom, NP?

The NPI number of Ivy Nnorom, NP is 1447737077. It was assigned on July 26, 2018 and is currently active in the NPPES registry.

What is the specialty of Ivy Nnorom, NP?

Ivy Nnorom, NP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NJ00827300.

Where does Ivy Nnorom, NP practice?

The practice location is 2040 Millburn Ave Ste 206, Maplewood, NJ 07040-3716. The office can be reached at 973-996-2078 (phone) or 973-852-3992 (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 1447737077 directly on the NPPES registry website.

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