Ecclesia Health LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ECCLESIA HEALTH LLC

Practice address

923 Park Ave
Plainfield, NJ 07060-3001

Phone

(732) 637-4071

Fax

(732) 902-9024

NPI assigned

Oct 11, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Chinwe M Izegbu, FNP

Title

Owner

Phone

(732) 637-4071

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Robert Schwarz, DDS, F.A.G.D.

  • Dentist
  • Plainfield, NJ
  • NPI 1184762759
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1665446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665446400000",
    "number": "1093430167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "923 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603001",
            "telephone_number": "732-637-4071",
            "fax_number": "732-902-9024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "923 PARK AVE",
            "city": "PLAINFIELD",
            "state": "NJ",
            "postal_code": "070603001",
            "telephone_number": "732-637-4071",
            "fax_number": "732-902-9024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCLESIA HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-11",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A",
        "authorized_official_last_name": "IZEGBU",
        "authorized_official_first_name": "CHINWE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-637-4071",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nurse Practitioner in Plainfield, NJ
• Providers in Plainfield, NJ by specialty
• Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.