Iyana Anderson
Individual provider Active NPI Case Manager/Care Coordinator · Newark, NJ
NPI 1750160990 · NPPES record last updated Sep 27, 2023
Key facts
- NPI
- 1750160990
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 44SL06665900 (NJ)
- Practice address
- 183 S Orange Ave
Newark, NJ 07103-2757 - Phone
- (973) 972-0480
- NPI assigned
- Sep 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06665900 | NJ | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 44SL06665900 | NJ | Yes |
Addresses
Primary practice location
183 S Orange Ave
Newark, NJ 07103-2757
Mailing address
671 Hoes LN W
Piscataway, NJ 08854-8021
Other providers in Newark, NJ
- Thiruvengadam Anandarangam
- Sowmya Ananthan
- Amanda Marie Andersen
- Audrey Anderson
- Chepell Anderson
- Kisha Tamara Anderson
- Pamela Anderson
- Shayvonne Anderson
- Falecia Andino
- Andrew Andonov
All providers in Newark, NJ · Case Manager/Care Coordinator in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.