Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Initia Nova LLC

Organization Specialist · NPI 1013461243

Initia Nova LLC provides Specialist services 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.

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Practice location Address checks out

1930 Marlton Pike E Ste H42
Cherry Hill, NJ 08003-4104 Not confirmed with CMS for 10 years — call before visiting
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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