Nu Age Medicine, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

NU AGE MEDICINE, LLC

Practice address

632 Montgomery Ave FL 3
Narberth, PA 19072-2000

Phone

(267) 603-3140

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Matthew Amici

Title

Partner/Owner

Phone

(267) 918-0537

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1386354579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 MONTGOMERY AVE FL 3",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722000",
            "telephone_number": "267-603-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 MONTGOMERY AVE FL 3",
            "city": "NARBERTH",
            "state": "PA",
            "postal_code": "190722000",
            "telephone_number": "267-603-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NU AGE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "AMICI",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PARTNER/OWNER",
        "authorized_official_telephone_number": "267-918-0537"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Nichols, RN, MSN-BC
• Kazuko Nishisaki, D.D.S.
• Caitlin Nolan, M.S. ED., CCC-SLP
• Aliyah Novelli, MSW, LCSW
• Alyson Gaver Nowell, LCSW
• Nuc,LLC
• Nucell Regenerative Health LLC
• Jenna O'Boyle
• Kaitlin O'Grady
• Adrienne Leigh O'Hara, LPC, NCC

• Medical Specialty Clinic/Center in Narberth, PA
• Providers in Narberth, PA by specialty
• Medical Specialty Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.