Active NPIIndividual provider

Iniobong Ukonne

Family Medicine in Montclair, New Jersey

NPI Number1871097980
Practice location
1 Bay Ave, Montclair, NJ 07042-4837
Fax
—
Last updated
October 9, 2020

Iniobong Ukonne is a Family Medicine based in Montclair, NJ. Iniobong Ukonne practices in Montclair, NJ. The NPI Number for Iniobong Ukonne is 1871097980 and holds a License No. 25MA10901400 (NJ). The current practice location address for Iniobong Ukonne is 1 Bay Ave, Montclair, NJ 07042-4837 and can be reached out via phone at 973-330-1269.

Provider Profile Details

NPI Number
1871097980
Provider Name
Iniobong Ukonne
Provider Entity Type
Individual
Gender
Female
Address
1 Bay Ave, Montclair, NJ 07042-4837
Phone Number
973-330-1269
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
March 22, 2018
Last Update Date
October 9, 2020
Certification Date
October 9, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Bay Ave
Montclair, NJ 07042-4837
Zip
07042-4837
Phone Number
973-330-1269
Montclair, NJ 07042Get directions →

Provider Business Mailing Address Details

Address
799 Bloomfield Ave Ste 201
Verona, NJ 07044-1374
City
Verona
State
NJ
Zip
07044-1374
Phone Number
973-746-7050

License Information

License Number (2)
25MA10901400
License State (2)
NJ
Taxonomy (2)
Family Medicine · 207Q00000X · 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 Iniobong Ukonne?

The NPI number of Iniobong Ukonne is 1871097980. It was assigned on March 22, 2018 and is currently active in the NPPES registry.

What is the specialty of Iniobong Ukonne?

Iniobong Ukonne is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number 25MA10901400.

Where does Iniobong Ukonne practice?

The practice location is 1 Bay Ave, Montclair, NJ 07042-4837. The office can be reached at 973-330-1269 (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 1871097980 directly on the NPPES registry website.

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