Provider Demographics
NPI:1326336116
Name:UNACHUKWU, DANIEL A (APN)
Entity Type:Individual
Prefix:MR
First Name:DANIEL
Middle Name:A
Last Name:UNACHUKWU
Suffix:
Gender:M
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 RUBY DR
Mailing Address - Street 2:
Mailing Address - City:MORGANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07751-1054
Mailing Address - Country:US
Mailing Address - Phone:201-757-5585
Mailing Address - Fax:
Practice Address - Street 1:1 WATERWORKS RD
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4231
Practice Address - Country:US
Practice Address - Phone:732-866-3665
Practice Address - Fax:732-866-3669
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2023-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR11864400163W00000X
NJ26NJ00343300363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health