Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Impact Medical LLC

Organization Adult Health Nurse Practitioner · NPI 1336417476

Impact Medical LLC is an Adult Health Nurse Practitioner in Clementon, New Jersey. Licensed in New Jersey. Registered with an NPI since 2011.

Licensed in
NJ
In the registry since
2011
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

244 Aman Ave
Clementon, NJ 08021-2502
Phone: (267) 474-1355
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 26NJ00349900 (NJ)

Record details

NPI number1336417476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ihuoma Ottih — Apn-C/ Owner · (267) 474-1355
NPI enumeratedDecember 4, 2011
Last updated in NPPESDecember 4, 2011
Mailing address244 Aman Ave, Clementon, NJ 08021-2502

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