Active NPIIndividual providerSole proprietor

Ms. Kempolly D Swaby

Nurse Practitioner, Gerontology in Orange, New Jersey

NPI Number1750056495
Practice location
531 Lincoln Ave, Orange, NJ 07050-2122
Fax
—
Last updated
August 17, 2021

Kempolly Datisha Swaby is a Nurse Practitioner, Gerontology based in Orange, NJ. Kempolly Datisha Swaby practices in Orange, NJ. The NPI Number for Kempolly Datisha Swaby is 1750056495 and holds a License No. 26nj01183500 (NJ). The current practice location address for Kempolly Datisha Swaby is 531 Lincoln Ave, Orange, NJ 07050-2122 and can be reached out via phone at 973-941-6617.

Provider Profile Details

NPI Number
1750056495
Provider Name
Kempolly Datisha Swaby
Provider Entity Type
Individual
Gender
Female
Address
531 Lincoln Ave, Orange, NJ 07050-2122
Phone Number
973-941-6617
Primary Taxonomy
Nurse Practitioner, Gerontology · 363LG0600X
Sole Proprietor
Yes
Provider Enumeration Date
August 13, 2021
Last Update Date
August 17, 2021
Certification Date
August 17, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
531 Lincoln Ave
Orange, NJ 07050-2122
City
Orange
Zip
07050-2122
Phone Number
973-941-6617
Orange, NJ 07050Get directions →

Provider Business Mailing Address Details

Address
531 Lincoln Ave
Orange, NJ 07050-2122
City
Orange
State
NJ
Zip
07050-2122
Phone Number
973-941-6617

License Information

License Number
26nj01183500
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 Ms. Kempolly D Swaby?

The NPI number of Ms. Kempolly D Swaby is 1750056495. It was assigned on August 13, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Kempolly D Swaby?

Ms. Kempolly D Swaby is registered under the primary taxonomy Nurse Practitioner, Gerontology (code 363LG0600X), licensed in NJ under license number 26nj01183500.

Where does Ms. Kempolly D Swaby practice?

The practice location is 531 Lincoln Ave, Orange, NJ 07050-2122. The office can be reached at 973-941-6617 (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 1750056495 directly on the NPPES registry website.

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