Dazzle Healthcare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

DAZZLE HEALTHCARE LLC

Practice address

51 JFK Pkwy FL 1
Short Hills, NJ 07078-2713

Phone

(908) 447-4996

NPI assigned

May 25, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Ifeoma NwaforNPI 1033048665

Title

Owner/ Administrator

Phone

(908) 447-4996

Specialties & licenses 3

Addresses

Other names 1

• DAZZLE HEALTHCARE LLC Doing business as

Practitioners 1

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

• Ifeoma Nwafor, APN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Short Hills, NJ
  • NPI 1033048665
  NPD Authorized official

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732665600000",
    "number": "1801534128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 JFK PKWY FL 1",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713",
            "telephone_number": "908-447-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 JFK PKWY FL 1",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782713",
            "telephone_number": "908-447-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZZLE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-25",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A",
        "authorized_official_last_name": "NWAFOR",
        "authorized_official_first_name": "IFEOMA",
        "authorized_official_title_or_position": "OWNER/ ADMINISTRATOR",
        "authorized_official_telephone_number": "908-447-4996",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DAZZLE HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "DAZZLE HEALTHCARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cristine J Areola OD
• Jacqueline Crocker, LCSW
• Raymond Frederick Crystal, M.D.
• Daniel Zacharias MD PC
• Everson Davis
• Rick A Debiasi, DC
• Denise Hooten, RPT,P.a.
• Dermatology Consultants of Millburn
• Maheshwari Mahesh Desai
• Destiny Transportation SVC

• In Home Supportive Care Agency in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• In Home Supportive Care Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.