Provider Demographics
NPI:1538786702
Name:UGORJI, JOY IJEOMA (APN)
Entity type:Individual
Prefix:MRS
First Name:JOY
Middle Name:IJEOMA
Last Name:UGORJI
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:757 BEATTY ST
Mailing Address - Street 2:
Mailing Address - City:TRENTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08611-2525
Mailing Address - Country:US
Mailing Address - Phone:609-331-6520
Mailing Address - Fax:
Practice Address - Street 1:757 BEATTY ST
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:NJ
Practice Address - Zip Code:08611-2525
Practice Address - Country:US
Practice Address - Phone:609-331-6520
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-02
Last Update Date:2023-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR18922600163W00000X, 163WG0000X, 163WR0400X
NJ26NJ01219700363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WR0400XNursing Service ProvidersRegistered NurseRehabilitation