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Organization
OCCUMEDLY LLC
Active
Organization
OCCUMEDLY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VANESSA EZEMADU (CHIEF EXECUTIVE OFFICER)
(609) 900-7883
Entity
Organization
Contact information
Practice address
377 VALLEY RD UNIT 2594, CLIFTON, NJ 07013-1319
(609) 900-7883
Mailing address
20 ANDERSON AVE, WALLINGTON, NJ 07057-1015
(609) 900-7883
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
NULL
171M00000X
Case Manager/Care Coordinator
—
—
171WH0202X
Home Modifications Contractor
—
NULL
171WH0202X
Home Modifications Contractor
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
NULL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
246W00000X
Cardiology Technician
—
NULL
246W00000X
Cardiology Technician
—
—
246Y00000X
Health Information Specialist/Technologist
—
NULL
246Y00000X
Health Information Specialist/Technologist
—
—
247000000X
Health Information Technician
—
NULL
247000000X
Health Information Technician
—
—
251B00000X
Case Management Agency
—
NULL
293D00000X
Physiological Laboratory
—
NULL
305S00000X
Point of Service
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
NULL
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
Primary
—
NULL
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
01/14/2022
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