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

Adanna Ibezim

Individual provider Family Nurse Practitioner · NPI 1124305958

Adanna Ibezim is a Nurse Practitioner in Kearny, New Jersey. Qualified in 2018, 8 years ago. Practices with Inova Ucc LLC, a 153-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
8
Licensed in
NJ, NY
In the registry since
2011
Specialties on file
2

Practice location Address checks out

276 Passaic Ave Unit A
Kearny, NJ 07032-1129
Phone: (201) 719-9371
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 26NJ01397800 (NJ)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F344186 (NY)

Record details

NPI number1124305958
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedNovember 8, 2011
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 25, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Kearny