Provider Demographics
NPI:1548737166
Name:SKEETE, NJERI (MPA)
Entity Type:Individual
Prefix:
First Name:NJERI
Middle Name:
Last Name:SKEETE
Suffix:
Gender:F
Credentials:MPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:341 E 33RD ST
Mailing Address - Street 2:
Mailing Address - City:PATERSON
Mailing Address - State:NJ
Mailing Address - Zip Code:07504-1638
Mailing Address - Country:US
Mailing Address - Phone:631-568-4042
Mailing Address - Fax:
Practice Address - Street 1:341 E 33RD ST
Practice Address - Street 2:
Practice Address - City:PATERSON
Practice Address - State:NJ
Practice Address - Zip Code:07504-1638
Practice Address - Country:US
Practice Address - Phone:631-568-4042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-01
Last Update Date:2018-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator