Active NPI
Nadine Little
- Phlebology Physician
- Newark, NJ
National Provider Identifier
1689458036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Phlebology Physician
- Practice address
- 109 Broad St Apt 403
Newark, NJ 07104-5935 - Phone
- (973) 855-8509
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Phlebology Physician | 202K00000X | 0 | NJ | Primary |
Addresses
Primary practice location
109 Broad St Apt 403
Newark, NJ 07104-5935
Mailing address
109 Broad St Apt 403
Newark, NJ 07104-5935
Phone (973) 855-8509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primepoint Laboratory | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Phlebotomy Technician
- Newark, NJ
- NPI 1396507836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1689458036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 BROAD ST APT 403",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071045935",
"telephone_number": "973-855-8509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 BROAD ST APT 403",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071045935",
"telephone_number": "973-855-8509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LITTLE",
"first_name": "NADINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "202K00000X",
"taxonomy_group": "",
"desc": "Phlebology",
"state": "NJ",
"license": "0",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newark, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.