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

Initia Nova LLC

Organization Specialist · NPI 1013461243

Initia Nova LLC is a Specialist in Cherry Hill, New Jersey. Licensed in New Jersey. Registered with an NPI since 2016.

Licensed in
NJ
In the registry since
2016
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

1930 Marlton Pike E Ste H42
Cherry Hill, NJ 08003-4104
Phone: (856) 425-2942
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X (NJ)
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X · Licence 37F100176500 (NJ)

Record details

NPI number1013461243
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patrick Sullivan — Chief Medical Officer · (856) 625-8563
NPI enumeratedAugust 4, 2016
Last updated in NPPESAugust 4, 2016
Mailing address1930 Marlton Pike E Ste H42, Cherry Hill, NJ 08003-4104

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