Minuteclinic Diagnostic of New Jersey LLC
NPI 1053353615ActiveOrganization· Nurse Practitioner, Family· Sewell, NJ
Nurse Practitioner, Family in Sewell, New Jersey, registered in NPPES in June 2006. The authorized official on file is Deborah Pincince, Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053353615 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 11, 2006 |
| Last updated in NPPES | Apr 30, 2024 |
| Certified by provider | Apr 30, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
| Counselor, Professional | 101YP2500X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Family Medicine | 207Q00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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