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

Dr. Priscilla Itua, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1639811680

Dr. Priscilla Itua, MD is an Internal Medicine in Atlantic City, New Jersey. Qualified in 2021, 5 years ago. Practices as a sole proprietor.

Years since qualifying
5
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1925 Pacific Ave
Atlantic City, NJ 08401-6713
Phone: (609) 464-2564
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1639811680
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 11, 2022
Last updated in NPPESJune 5, 2022
Certification dateMay 27, 2022
Mailing address110 E Jimmie Leeds Rd, Galloway, NJ 08205-9479

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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