Ijn Health Systems, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

IJN HEALTH SYSTEMS, LLC

Practice address

262 Chapman Rd Ste 204
Newark, DE 19702-5442

Phone

(302) 239-0987

Fax

(302) 307-1345

NPI assigned

Aug 14, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Edward WadiehNPI 1518990175

Title

President/Ceo

Phone

(646) 752-1794

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Home health agency certification: CCN 087811

Legal name

IJN HEALTH SYSTEMS,LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

May 1, 2023

Last certification

Apr 13, 2023

Organization structure

LLCProprietary

Incorporated

Oct 28, 2015 in DE

Enrollment address

262 Chapman Rd
Ste 204
Newark, DE 19702-5442

Listed as

Ijn Health Systems, LLCCCN 087811

Ownership

-

Certified

May 1, 2023

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Edward Wadieh

  • Physician Assistant
  • New York, NY
  • NPI 1518990175

  5% Or Greater Direct Ownership Interest

  CMS ownership

Practitioners 1

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

• Edward Wadieh

  • Physician Assistant
  • New York, NY
  • NPI 1518990175
  NPD Authorized official

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1467978205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 PARKMAN CT",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197014940",
            "telephone_number": "646-752-1794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 CHAPMAN RD STE 204",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197025442",
            "telephone_number": "302-239-0987",
            "fax_number": "302-307-1345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 PARKMAN COURT",
            "address_purpose": "LOCATION",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "19701",
            "country_code": "US",
            "telephone_number": "646-752-1794",
            "fax_number": "302-307-1345",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "IJN HEALTH SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "WADIEH",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "646-752-1794",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Maelen Ignacio, PHARM.D.
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• Heather Ann Immediato, PTA
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• Chantel Imran, M.D.

• All providers in Newark, DE
• Home Health Agency in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.