Salamatu Koroma, LPN

Individual provider Active NPI Registered Nurse · Sayreville, NJ

NPI 1225316565 · NPPES record last updated Jun 2, 2023

Key facts

NPI
1225316565
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
777225 (NY)
Practice address
20 Begonia CT
Sayreville, NJ 08872-2129
Phone
(732) 642-4436
NPI assigned
Aug 3, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
777225NYMDRegistered Nurse
26NP06602200NJMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP06602200 NJ
Registered Nurse 163W00000X 777225 NY Yes

Addresses

Primary practice location

20 Begonia CT
Sayreville, NJ 08872-2129

Mailing address

20 Begonia CT
Sayreville, NJ 08872-2129
Phone (173) 264-2443

Other providers in Sayreville, NJ

All providers in Sayreville, NJ · Registered Nurse in New Jersey

Sources for this page

Verify at the official NPI Registry.