Dr. Ikenna Madufor Ozims, DNP
Nurse Practitioner, Gerontology in Newark, NJ. Individual provider (NPI-1).
NPI number1952880353
StatusActive
Last updated in NPPESJun 12, 2025
Details
- NPI
- 1952880353
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ikenna Madufor Ozims
- Credential
- DNP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 7, 2018
- Certification date
- Jun 12, 2025
- Last updated
- Jun 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 26NJ00847000 | NJ | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 2233767 | NJ |
Practice location
1 Riverfront Plz Ste 300Newark, NJ 07102-5412
Phone 201-273-7047 · Fax 855-998-4358
Mailing address
625 Union StLinden, NJ 07036-2554
Phone 201-878-6442
Other practice locations
625 Union St
Linden, NJ 07036-2554
Linden, NJ 07036-2554
Phone 201-878-6442
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