Samuel Okechukwu
Samuel Okechukwu is a Nurse Practitioner in Passaic, New Jersey. Qualified in 2021, 5 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in New Jersey.
- Years since qualifying
- 5
- Licensed in
- NJ
- In the registry since
- 2021
Practice location Address checks out
350 BlvdPassaic, NJ 07055-2840
Phone: (862) 596-4831
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 26NJ01197300 (NJ) |
|---|
Record details
| NPI number | 1396412763 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 24, 2021 |
| Last updated in NPPES | August 24, 2021 |
| Certification date | August 24, 2021 |
| Mailing address | 350 Boulevard, Passaic, NJ 07055-2840 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
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