Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Organization
ANGELIC HEALTH PRACTICE GROUP
Active
Parent organization
ANGELIC HEALTH PRACTICE GROUP
Other names
Angelic Wound Care of NJ
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANGELIC HEALTH PRACTICE GROUP
Authorized official
DAN MIKUS (CEO)
(609) 822-7979
Entity
Organization
Contact information
Practice address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(856) 812-8089
Mailing address
8025 BLACK HORSE PIKE STE 501, PLEASANTVILLE, NJ 08232-2967
(856) 812-8089
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/22/2023
Last updated
12/22/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up