Active NPIOrganization

Occumedly LLC

Nurse Practitioner, Primary Care in Clifton, New Jersey

NPI Number1750985719
Practice location
377 Valley RD Unit 2594, Clifton, NJ 07013-1319
Fax
—
Last updated
January 14, 2022

Occumedly LLC is a healthcare organization based in Clifton, NJ. Occumedly LLC practices in Clifton, NJ. The NPI Number for Occumedly LLC is 1750985719. The current practice location address for Occumedly LLC is 377 Valley RD Unit 2594, Clifton, NJ 07013-1319 and can be reached out via phone at 609-900-7883.

Provider Profile Details

NPI Number
1750985719
Provider Name
Occumedly LLC
Provider Entity Type
Organization
Address
377 Valley RD Unit 2594, Clifton, NJ 07013-1319
Phone Number
609-900-7883
Primary Taxonomy
Nurse Practitioner, Primary Care · 363LP2300X
Organization Subpart
No
Authorized Official
Ms. Vanessa Ezemadu · Chief Executive Officer · 609-900-7883
Provider Enumeration Date
November 30, 2020
Last Update Date
January 14, 2022
Certification Date
January 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
377 Valley RD Unit 2594
Clifton, NJ 07013-1319
Zip
07013-1319
Phone Number
609-900-7883
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
20 Anderson Ave
Wallington, NJ 07057-1015
City
Wallington
State
NJ
Zip
07057-1015
Phone Number
609-900-7883

License Information

Taxonomy (1)
Family Medicine, Geriatric Medicine · 207QG0300X
Taxonomy (2)
Technician, Cardiology · 246W00000X
Taxonomy (3)
Spec/Tech, Health Info · 246Y00000X
Taxonomy (4)
Technician, Health Information · 247000000X
Taxonomy (5)
Case Management · 251B00000X
Taxonomy (6)
Physiological Laboratory · 293D00000X
Taxonomy (7)
Point of Service · 305S00000X
Taxonomy (8)
Nurse Practitioner · 363L00000X
Taxonomy (9)
Nurse Practitioner, Gerontology · 363LG0600X
Taxonomy (10)
Case Manager/Care Coordinator · 171M00000X
Taxonomy (11)
Contractor, Home Modifications · 171WH0202X
Taxonomy (12)
Nurse Practitioner, Primary Care · 363LP2300X · 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 Occumedly LLC?

The NPI number of Occumedly LLC is 1750985719. It was assigned on November 30, 2020 and is currently active in the NPPES registry.

What is the specialty of Occumedly LLC?

Occumedly LLC is registered under the primary taxonomy Nurse Practitioner, Primary Care (code 363LP2300X).

Where does Occumedly LLC practice?

The practice location is 377 Valley RD Unit 2594, Clifton, NJ 07013-1319. The office can be reached at 609-900-7883 (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 1750985719 directly on the NPPES registry website.

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