OCCUMEDLY LLC; NPI #1750985719

Contact Information

OCCUMEDLY LLC

377 VALLEY RD UNIT 2594
CLIFTON, NJ 07013-1319

Phone: 609-900-7883
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Primary Care	363LP2300X	50	Nurse Practitioner
Case Management	251B00000X
Case Manager/Care Coordinator	171M00000X
Geriatric Medicine	207QG0300X	08	Physician/Family Practice
Gerontology	363LG0600X	50	Nurse Practitioner
Home Modifications	171WH0202X
Nurse Practitioner	363L00000X	50	Nurse Practitioner
Physiological Laboratory, (Independent Physiological Lab)	293D00000X	47	Independent Diagnostic Testing Facility (IDTF)
Point of Service	305S00000X
Specialist/Technologist, Health Information	246Y00000X
Technician, Cardiology	246W00000X
Technician, Health Information	247000000X

Indicates primary specialty

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NPI Profile & details for OCCUMEDLY LLC

NPI #	`1750985719`
LBN Legal business name	OCCUMEDLY LLC
Authorized official	VANESSA EZEMADU - (CHIEF EXECUTIVE OFFICER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/30/2020
Last updated	01/14/2022 - About 4 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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OCCUMEDLY LLC

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NPI Profile & details for OCCUMEDLY LLC

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