Active NPIIndividual providerSole proprietor

Ms. Shirley Idumwonyi, FNP

Nurse Practitioner, Family in Englewood, New Jersey

NPI Number1477399913
Practice location
350 Engle St, Englewood, NJ 07631-1808
Fax
—
Last updated
September 9, 2026

Shirley Idumwonyi is a Nurse Practitioner, Family based in Englewood, NJ. Shirley Idumwonyi practices in Englewood, NJ and has the professional credentials of FNP. The NPI Number for Shirley Idumwonyi is 1477399913 and holds a License No. 26NR13950000 (NJ). The current practice location address for Shirley Idumwonyi is 350 Engle St, Englewood, NJ 07631-1808 and can be reached out via phone at 201-649-3199.

Provider Profile Details

NPI Number
1477399913
Provider Name
Shirley Idumwonyi
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
350 Engle St, Englewood, NJ 07631-1808
Phone Number
201-649-3199
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
Yes
Provider Enumeration Date
July 3, 2024
Last Update Date
September 9, 2026
Certification Date
September 9, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
350 Engle St
Englewood, NJ 07631-1808
Zip
07631-1808
Phone Number
201-649-3199
Englewood, NJ 07631Get directions →

Provider Business Mailing Address Details

Address
350 Engle St
Englewood, NJ 07631-1808
City
Englewood
State
NJ
Zip
07631-1808
Phone Number
201-894-3000

License Information

License Number (1)
26NR13950000
License State (1)
NJ
Taxonomy (1)
Registered Nurse · 163W00000X
License Number (2)
26NJ15614900
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 Ms. Shirley Idumwonyi, FNP?

The NPI number of Ms. Shirley Idumwonyi, FNP is 1477399913. It was assigned on July 3, 2024 and is currently active in the NPPES registry.

What is the specialty of Ms. Shirley Idumwonyi, FNP?

Ms. Shirley Idumwonyi, FNP is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in NJ under license number 26NR13950000.

Where does Ms. Shirley Idumwonyi, FNP practice?

The practice location is 350 Engle St, Englewood, NJ 07631-1808. The office can be reached at 201-649-3199 (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 1477399913 directly on the NPPES registry website.

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