# SKYHEART MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972194215
- **Authorized official:** DR. DEBBIE Y MOHAMMED NP (NP/OWNER)
- **Authorized official phone:** (973) 343-5660

## Contact information

- **Practice address:** 1126 DICKINSON ST, ELIZABETH, NJ 07201-2404
- **Practice address phone:** (973) 343-5660
- **Practice address fax:** (833) 978-0843
- **Mailing address:** 634 EAGLE ROCK AVE UNIT 202, WEST ORANGE, NJ 07052-6801
- **Mailing address phone:** (973) 343-5660
- **Mailing address fax:** (833) 978-0843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 01/29/2021
- **Last updated:** 12/09/2024