Individual provider · NPI-1

Ian Joseph

Community Health Worker · Newark, NJ

NPI number1376481606
StatusActive
Last updated in NPPESMar 25, 2026

Details

NPI
1376481606
Entity type
Individual (NPI-1)
Name
Ian Joseph
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 25, 2026
Certification date
Mar 25, 2026
Last updated
Mar 25, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

132 Oakland Ter
Newark, NJ 07106-2302

Phone 973-946-2094

Mailing address

132 Oakland Ter
Newark, NJ 07106-2302

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