Provider Demographics
NPI:1780325282
Name:NORAHS ADEJET LLC
Entity type:Organization
Organization Name:NORAHS ADEJET LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:SCIPIO
Authorized Official - Suffix:
Authorized Official - Credentials:APN-BC
Authorized Official - Phone:609-454-3815
Mailing Address - Street 1:100 ALBERT WAY APT 1141
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-3204
Mailing Address - Country:US
Mailing Address - Phone:609-454-3815
Mailing Address - Fax:
Practice Address - Street 1:100 ALBERT WAY APT 1141
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-3204
Practice Address - Country:US
Practice Address - Phone:609-454-3815
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-06
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty