Active NPIOrganization

Sidwa Enterprise II, LLC

Nurse Practitioner, Adult Health in Forked River, New Jersey

NPI Number1902252315
Practice location
1043 Montauk Dr, Forked River, NJ 08731-2004
Fax
888-836-3950
Last updated
May 10, 2016

Sidwa Enterprise II, LLC is a healthcare organization based in Forked River, NJ. Sidwa Enterprise II, LLC practices in Forked River, NJ. The NPI Number for Sidwa Enterprise II, LLC is 1902252315 and holds a License No. 26NN10119300 (NJ). The current practice location address for Sidwa Enterprise II, LLC is 1043 Montauk Dr, Forked River, NJ 08731-2004 and can be reached out via phone at 609-339-5667 and via fax at 888-836-3950.

Provider Profile Details

NPI Number
1902252315
Provider Name
Sidwa Enterprise II, LLC
Provider Entity Type
Organization
Address
1043 Montauk Dr, Forked River, NJ 08731-2004
Phone Number
609-339-5667
Fax Number
888-836-3950
Primary Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X
Organization Subpart
No
Authorized Official
Vickie S Sidwa, ANP · President Owner · 609-339-5667
Provider Enumeration Date
May 4, 2016
Last Update Date
May 10, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
1043 Montauk Dr
Forked River, NJ 08731-2004
Zip
08731-2004
Phone Number
609-339-5667
Fax Number
888-836-3950
Forked River, NJ 08731Get directions →

Provider Business Mailing Address Details

Address
1043 Montauk Dr
Forked River, NJ 08731-2004
City
Forked River
State
NJ
Zip
08731-2004
Phone Number
609-339-5667
Fax Number
888-836-3950

License Information

License Number
26NN10119300
License State
NJ
Taxonomy
Nurse Practitioner, Adult Health · 363LA2200X · 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 Sidwa Enterprise II, LLC?

The NPI number of Sidwa Enterprise II, LLC is 1902252315. It was assigned on May 4, 2016 and is currently active in the NPPES registry.

What is the specialty of Sidwa Enterprise II, LLC?

Sidwa Enterprise II, LLC is registered under the primary taxonomy Nurse Practitioner, Adult Health (code 363LA2200X), licensed in NJ under license number 26NN10119300.

Where does Sidwa Enterprise II, LLC practice?

The practice location is 1043 Montauk Dr, Forked River, NJ 08731-2004. The office can be reached at 609-339-5667 (phone) or 888-836-3950 (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 1902252315 directly on the NPPES registry website.

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